OrganizationActive
South Ogden Pediatric Dental P.C.
NPI 1104834191 · Pediatric Dentistry · Washington Terrace, UT
Provider details
- NPI number
- 1104834191
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- M. Rallison, Owner(801) 475-6433
- License
- 5118697-9923 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5275 S. Adams Ave.,
Suite C
Washington Terrace, UT 84405
Phone: (801) 475-6433
Fax: (801) 334-8411
Approximate (ZIP-level) locationGet directions
Mailing address
5275 S. Adams Ave.,
Washington Terrace, UT 84405
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2011-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.