OrganizationActive
Pony Express Dentalkids, LLC
NPI 1245720788 · Pediatric Dentistry · South Jordan, UT
Provider details
- NPI number
- 1245720788
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Garner, Director of Operations(801) 614-7669
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5396 W Daybreak Pkwy
South Jordan, UT 84009-5900
Phone: (801) 614-7669
Street-level locationGet directions
Mailing address
5396 W Daybreak Pkwy
South Jordan, UT 84009-5900
Registry dates
- Enumerated
- 2018-05-10
- Last updated
- 2018-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.