OrganizationActive
Southridge Pediatric Dentistry
NPI 1225249683 · Dentist · South Jordan, UT
Southridge Pediatric Dentistry is a Dentist organization in South Jordan, UT (NPI 1225249683).
Provider details
- NPI number
- 1225249683
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- David Roth, Owner(801) 446-1515
- License
- 5667938 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 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
2651 W. 10400 S. #103
South Jordan, UT 84095
Phone: (801) 445-1515
Fax: (801) 446-5290
Street-level locationGet directions
Mailing address
2651 W. 10400 S. #103
South Jordan, UT 84095
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southridge Pediatric Dentistry's NPI number?
- Southridge Pediatric Dentistry's National Provider Identifier (NPI) is 1225249683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southridge Pediatric Dentistry?
- Southridge Pediatric Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Southridge Pediatric Dentistry located?
- Southridge Pediatric Dentistry's practice location on file with NPPES is 2651 W. 10400 S. #103, South Jordan, UT 84095.
- What is Southridge Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Southridge Pediatric Dentistry is (801) 445-1515.
- Who is the authorized official for Southridge Pediatric Dentistry?
- The authorized official listed on Southridge Pediatric Dentistry's NPPES record is David Roth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southridge Pediatric Dentistry's NPI active?
- Yes — Southridge Pediatric Dentistry's NPI (1225249683) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.