OrganizationActive
Pedoortho Partners PLLC
NPI 1639828007 · Pediatric Dentistry · West Jordan, UT
Pedoortho Partners PLLC is a Pediatric Dentistry organization in West Jordan, UT (NPI 1639828007).
Provider details
- NPI number
- 1639828007
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Vicenta Reyes, Credntialing ,lead(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5481 W 7800 S Ste 120
West Jordan, UT 84081-6027
Phone: (801) 542-0817
Street-level locationGet directions
Mailing address
5481 W 7800 S Ste 120
West Jordan, UT 84081-6027
Other names (DBA / former)
- Doing business as
- Clubhouse Pediatric Dentistry
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Frequently asked questions
- What is Pedoortho Partners PLLC's NPI number?
- Pedoortho Partners PLLC's National Provider Identifier (NPI) is 1639828007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pedoortho Partners PLLC?
- Pedoortho Partners PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pedoortho Partners PLLC located?
- Pedoortho Partners PLLC's practice location on file with NPPES is 5481 W 7800 S Ste 120, West Jordan, UT 84081-6027.
- What is Pedoortho Partners PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pedoortho Partners PLLC is (801) 542-0817.
- Who is the authorized official for Pedoortho Partners PLLC?
- The authorized official listed on Pedoortho Partners PLLC's NPPES record is Vicenta Reyes, Credntialing ,lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pedoortho Partners PLLC's NPI active?
- Yes — Pedoortho Partners PLLC's NPI (1639828007) is active in the NPPES registry as of the last update on 2022-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.