SLPD Herriman

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SLPD HERRIMAN

Practice address

5532 Main St Ste 220
Herriman, UT 84096-5841

Phone

(801) 463-1900

NPI assigned

Jun 3, 2026

Last updated

Jun 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Gustafson, DDSNPI 1871783027

Title

Dentist/Owner

Phone

(801) 463-1900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Gustafson, DDS, MS

  • Pediatric Dentistry
  • Salt Lake City, UT
  • NPI 1871783027
  Authorized official Same address or phone

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1134052939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 MAIN ST STE 220",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 MAIN ST STE 220",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965841",
            "telephone_number": "801-463-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLPD HERRIMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "801-463-1900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Siggard
• Silver Summit Dental
• Gwynyth Adele Simons
• SLC Diagnostic Imaging
• Patrick Slimak, PHARM.D.
• Smilewide Dental Care PC
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #108)
• South Valley Physical Therapy and Rehab
• Stephen Souvall
• Malory Leigh Stallings

• Pediatric Dentistry in Herriman, UT
• Providers in Herriman, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.