Healthcare Provider Details

I. General information

NPI: 1356260269
Provider Name (Legal Business Name): RAINBOW KIDS PEDIATRIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8327 S STATE STREET
SANDY UT
84070
US

IV. Provider business mailing address

9522 S STORNOWAY CIR
SOUTH JORDAN UT
84009-9731
US

V. Phone/Fax

Practice location:
  • Phone: 808-339-8754
  • Fax: 385-614-6124
Mailing address:
  • Phone: 808-339-8754
  • Fax: 385-614-6124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. VY T TRAN
Title or Position: PEDIATRIC DENTIST
Credential: DMD
Phone: 385-614-6123