GRANGER PEDIATRIC DENTISTRY – Dental Clinic/Center, NPI 1154637825

GRANGER PEDIATRIC DENTISTRY is a healthcare provider. based in Salt lake city, Utah. specializing in Dental Clinic/Center. The organization holds a License No. 360305-9923 (UT). The NPI Number for GRANGER PEDIATRIC DENTISTRY is 1154637825

Main info

Organization
Name
GRANGER PEDIATRIC DENTISTRY
NPI
1154637825
Phone
(801) 969-8881
Address
P.O. BOX 18430
Authorized Official
DR. HANS C PETERSEN OWNER/DENTIST DMD
Enumeration Date
19 August 2010
Last Update Date
21 March 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for GRANGER PEDIATRIC DENTISTRY

  • P.O. BOX 18430

    SALT LAKE CITY, UT 841180430

    Phone: (801) 969-8881

    Fax: (801) 969-8889

    Type: Mailing

  • 3725 W. 4100 S.

    SUITE #260

    WEST VALLEY CITY, UT 84120

    Phone: (801) 969-8881

    Fax: (801) 969-8889

    Type: Location

  • GRANGER PEDIATRIC DENTISTRY

    P.O. BOX 18430

    SALT LAKE CITY, UT 841180430

    Phone: (801) 969-8881

    Fax: (801) 969-8889

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84118)

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Frequently asked questions

What NPI should I save for GRANGER PEDIATRIC DENTISTRY?
Save NPI 1154637825 if you need a stable reference for GRANGER PEDIATRIC DENTISTRY.
Is GRANGER PEDIATRIC DENTISTRY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does GRANGER PEDIATRIC DENTISTRY list a primary specialty?
If you are matching referrals, note Dental Clinic/Center for GRANGER PEDIATRIC DENTISTRY. Clinical services aligned with this taxonomy classification.
Where does public data place GRANGER PEDIATRIC DENTISTRY?
The snapshot lists Salt Lake City, Utah for GRANGER PEDIATRIC DENTISTRY; download NPPES for the complete set.
How can I contact GRANGER PEDIATRIC DENTISTRY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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