South Hills Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

96759619923 Issued in UT

Legal business name

SOUTH HILLS PEDIATRIC DENTISTRY

Practice address

4013 W 13400 S
Riverton, UT 84096-6410

Phone

(385) 210-1000

NPI assigned

Apr 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Barton Randall Sloan, DMD

Title

Pediatric Dentist

Phone

(385) 210-1000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1114371804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 W 13400 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966410",
            "telephone_number": "385-210-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 W 13400 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966410",
            "telephone_number": "385-210-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "BARTON",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "385-210-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "96759619923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Corina Reyes Snedegar
• Shelby Snyder, LCSW
• Terry R. Sorenson, DMD
• South Hills Orthodontics
• South Hills Pediatric Dental Specialists, LLC
• South Valley Compounding Pharmacy LLC
• Andrea Graham Southerland, NP
• Laura Southwick
• Thomas Sowers
• Breanna Spangler

• Dental Clinic/Center in Riverton, UT
• Providers in Riverton, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.