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)
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.