OrganizationActive
Granger Pediatric Dentistry
NPI 1154637825 · Dental Clinic/Center · West Valley City, UT
Provider details
- NPI number
- 1154637825
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hans Petersen, Owner/Dentist(801) 969-8881
- License
- 360305-9923 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Granger Pediatric Dentistry
3535 S Market Street Suite #145
West Valley City, UT 84119-3637
Phone: (801) 969-8881
Fax: (801) 969-8889
Approximate (ZIP-level) locationGet directions
Mailing address
Granger Pediatric Dentistry
Salt Lake City, UT 84118-0430
Registry dates
- Enumerated
- 2010-08-19
- Last updated
- 2025-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.