| Out Of This World Sj | |
|
10426 S. 4000 W. South Jordan UT 84009 | |
| (801) 260-0400 | |
| (801) 619-5399 |
| Full Name | Out Of This World Sj |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10426 S. 4000 W., South Jordan, Utah |
| Authorized Official Name and Position | Cory Stark (OWNER) |
| Authorized Official Contact | 8012600400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Of This World Sj 10426 S. 4000 W. South Jordan UT 84009 Ph: (801) 260-0400 | Out Of This World Sj 10426 S. 4000 W. South Jordan UT 84009 Ph: (801) 260-0400 |
| NPI Number | 1811396260 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811396260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Peak 5 Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 W Reunion Ave Ste 6b, South Jordan, UT 84095 Phone: 385-368-6745 | |
South Jordan Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1268 W South Jordan Pkwy, Suite 302, South Jordan, UT 84095 Phone: 801-253-3900 Fax: 801-253-3342 | |
Pony Express Dental Daybreak, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5396 W Daybreak Parkway, South Jordan, UT 84009 Phone: 801-876-7669 | |
Copper Cove Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3473 W South Jordan Pkwy Ste 3, South Jordan, UT 84095 Phone: 801-446-2080 Fax: 801-446-2757 | |
Pony Exress Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5396 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-614-7669 | |
Little People's Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1268 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Phone: 801-446-8007 Fax: 801-676-1030 | |
Southridge Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2651 W. 10400 S. #103, South Jordan, UT 84095 Phone: 801-445-1515 Fax: 801-446-5290 |