White Dome Pediatric Dental LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WHITE DOME PEDIATRIC DENTAL LLC

Practice address

6025 S. River Rd. BLDG B Ste 3
Saint George, UT 84790

Phone

(435) 628-0511

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Cody Johnson, DMD

Title

Owner

Phone

(435) 628-0511

Specialties & licenses 2

Addresses

Other names 1

• Johnson Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1780480665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 S. RIVER RD. BLDG B STE 3",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-628-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 S. RIVER RD. BLDG B STE 3",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-628-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DOME PEDIATRIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-628-0511",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Wheeler, M.D.
• Tania Whipple, LMT
• Whistln' Dixie Chiropractic P.C.
• Neil Smith Whitaker, M.D.
• Ryan Michael Whitaker, AU.D
• Andrew Paul White, DC
• Colby Bybee White, APRN
• Dana Kay White
• Katelynn White
• Megan White

• Pediatric Dentistry in Saint George, UT
• Providers in Saint George, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.