Redwood Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

260205-9923 Issued in UT

Legal business name

REDWOOD PEDIATRIC DENTISTRY

Practice address

6287 S Redwood Rd Ste 201
Taylorsville, UT 84123-6655

Phone

(801) 281-8881

Fax

(801) 281-8883

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Charles Odion, DDS

Title

Doctor/Owner

Phone

(801) 281-8881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1619354271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD STE 201",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236655",
            "telephone_number": "801-281-8881",
            "fax_number": "801-281-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD STE 201",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841236655",
            "telephone_number": "801-281-8881",
            "fax_number": "801-281-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "ODION",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "801-281-8881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "260205-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Rebaza
• Matthew Reddin
• Redwood Injury Treatment Center
• Redwood Injury Treatment Center Inc.
• Redwood Orthodontics
• Kaycee Reed
• Kelton Reed
• Cierra Reeder
• Diana Lucile Reese, M.S.
• Lexie Reese

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.