OrganizationActive
Dr. Doug'S Pediatric Dentistry P.C.
NPI 1780004267 · Pediatric Dentistry · Logan, UT
Dr. Doug'S Pediatric Dentistry P.C. is a Pediatric Dentistry organization in Logan, UT (NPI 1780004267).
Provider details
- NPI number
- 1780004267
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Fryer, President(435) 792-3033
- License
- 285140-9923 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1300 N 200 E
Suite102
Logan, UT 84341-2398
Phone: (435) 232-9721
Fax: (435) 792-3033
Street-level locationGet directions
Mailing address
1300 N 200 E
Logan, UT 84341-2398
Other names (DBA / former)
- Former legal business name
- Small Smiles Pediatric Dentistry P.C.
Registry dates
- Enumerated
- 2014-04-23
- Last updated
- 2014-04-23
Frequently asked questions
- What is Dr. Doug'S Pediatric Dentistry P.C.'s NPI number?
- Dr. Doug'S Pediatric Dentistry P.C.'s National Provider Identifier (NPI) is 1780004267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Doug'S Pediatric Dentistry P.C.?
- Dr. Doug'S Pediatric Dentistry P.C. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Dr. Doug'S Pediatric Dentistry P.C. located?
- Dr. Doug'S Pediatric Dentistry P.C.'s practice location on file with NPPES is 1300 N 200 E, Logan, UT 84341-2398.
- What is Dr. Doug'S Pediatric Dentistry P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Dr. Doug'S Pediatric Dentistry P.C. is (435) 232-9721.
- Who is the authorized official for Dr. Doug'S Pediatric Dentistry P.C.?
- The authorized official listed on Dr. Doug'S Pediatric Dentistry P.C.'s NPPES record is Kenneth Fryer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Doug'S Pediatric Dentistry P.C.'s NPI active?
- Yes — Dr. Doug'S Pediatric Dentistry P.C.'s NPI (1780004267) is active in the NPPES registry as of the last update on 2014-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.