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South Ogden Pediatric Dental P.C.

Pediatric Dentistry in Washington Terrace, UT · enumerated 2006 · authorized official M. Rallison, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104834191

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Registry record

Entity type Organization (Type 2)
Legal business name South Ogden Pediatric Dental P.C.
Practice address 5275 S. Adams Ave.,, Suite C, Washington Terrace, UT, 84405
Fax (801) 334-8411
Enumeration date Aug 4, 2006
Last updated in NPPES Jun 21, 2011

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 5118697-9923 (UT) Primary

Authorized official

Name M. Rallison
Title Owner

Other identifiers

Identifier Type State Issuer
518155919002 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-06-21. Verify at npiregistry.cms.hhs.gov.
Where is South Ogden Pediatric Dental P.C. located?
The practice location on file with NPPES is in Washington Terrace, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-21.