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Herriman Pediatric Dentistry

Pediatric Dentistry in Herriman, UT · enumerated 2016 · authorized official Charles Odion, Owner.

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

National Provider Identifier

1376096966

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Registry record

Entity type Organization (Type 2)
Legal business name Herriman Pediatric Dentistry
Practice address 11996 S Anthem Park Blvd # 101, Herriman, UT, 84096
Phone (801) 877-5800
Fax (801) 907-7266
Enumeration date Jul 29, 2016
Last updated in NPPES Jul 29, 2016

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 8858650 (UT) Primary

Authorized official

Name Charles Odion
Title Owner
Phone (801) 877-5800

Other identifiers

Identifier Type State Issuer
556752017001 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

What is the NPI number for Herriman Pediatric Dentistry?
The NPI for Herriman Pediatric Dentistry is 1376096966, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Herriman Pediatric Dentistry?
NPPES lists Charles Odion (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-29.