OrganizationActive
Kids Town Pediatric Dentistry of Syracuse
NPI 1992179964 · Pediatric Dentistry · Syracuse, UT
Kids Town Pediatric Dentistry of Syracuse is a Pediatric Dentistry organization in Syracuse, UT (NPI 1992179964).
Provider details
- NPI number
- 1992179964
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brett Packham, Member(801) 217-3359
- License
- 6362621-9922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
780 S 2000 W
Suite #f-2
Syracuse, UT 84075-9602
Phone: (801) 776-8176
Fax: (801) 774-9085
Street-level locationGet directions
Mailing address
780 S 2000 W
Syracuse, UT 84075-9602
Registry dates
- Enumerated
- 2015-11-13
- Last updated
- 2015-11-13
Frequently asked questions
- What is Kids Town Pediatric Dentistry of Syracuse's NPI number?
- Kids Town Pediatric Dentistry of Syracuse's National Provider Identifier (NPI) is 1992179964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids Town Pediatric Dentistry of Syracuse?
- Kids Town Pediatric Dentistry of Syracuse is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kids Town Pediatric Dentistry of Syracuse located?
- Kids Town Pediatric Dentistry of Syracuse's practice location on file with NPPES is 780 S 2000 W, Syracuse, UT 84075-9602.
- What is Kids Town Pediatric Dentistry of Syracuse's phone number?
- The practice phone number listed in the NPPES registry for Kids Town Pediatric Dentistry of Syracuse is (801) 776-8176.
- Who is the authorized official for Kids Town Pediatric Dentistry of Syracuse?
- The authorized official listed on Kids Town Pediatric Dentistry of Syracuse's NPPES record is Brett Packham, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids Town Pediatric Dentistry of Syracuse's NPI active?
- Yes — Kids Town Pediatric Dentistry of Syracuse's NPI (1992179964) is active in the NPPES registry as of the last update on 2015-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.