NPI 1487295218
Stansbury Park Pediatric Dentistry
Practice location
- Address
- 263 Country Clb STE 102, Stansbury Park, UT 84074-9602
- Phone
- (435) 580-8800
- Mailing address
- 11996 S Anthem Park Blvd STE 102, Herriman, UT 84096-5643
Authorised official
- Name
- Alisha Shigley
- Title
- Office Manager
- Phone
- (435) 580-8800
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1487295218
- Entity type
- Organization
- NPI issued
- 2 Oct 2019
- Record last updated
- 2 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.