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Clubhouse Pediatric Dentistry of West Jordan

Pediatric Dentistry in Midvale, UT · enumerated 2018 · authorized official Jennifer Robison, Credentialing Coordinator.

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

National Provider Identifier

1639654684

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Registry record

Entity type Organization (Type 2)
Legal business name Clubhouse Pediatric Dentistry of West Jordan
Parent organization Capstone LLC
Practice address 1108 E South Union Ave, Midvale, UT, 84047
Phone (208) 520-1514
Enumeration date Sep 26, 2018
Last updated in NPPES Sep 26, 2018

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Jennifer Robison
Title Credentialing Coordinator
Phone (208) 520-1514

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 Clubhouse Pediatric Dentistry of West Jordan?
The NPI for Clubhouse Pediatric Dentistry of West Jordan is 1639654684, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clubhouse Pediatric Dentistry of West Jordan?
NPPES lists Jennifer Robison (Credentialing Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-26.