OrganizationActive
Dr. Doug'S Pediatric Dentistry P.C.
NPI 1780004267 · Pediatric Dentistry · Logan, UT
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.