OrganizationActive
Wasatch Kids Pediatric Dentistry, LLC
NPI 1689333908 · Pediatric Dentistry · Taylorsville, UT
Provider details
- NPI number
- 1689333908
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Johanna Webster, Director of Operations(801) 414-1163
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 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
6151 South Redwood Road
Ste. 200
Taylorsville, UT 84123-5332
Phone: (801) 441-2144
Fax: (801) 278-0481
Street-level locationGet directions
Mailing address
6151 South Redwood Road
Taylorsville, UT 84123-5332
Other names (DBA / former)
- Former legal business name
- Slpd Taylorsville, LLC
- Doing business as
- Salt Lake Pediatric Dentistry
Registry dates
- Enumerated
- 2021-12-14
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.