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General NPI Number Information
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NPI Number | 1407720899
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Entity Type | Organization
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Legal Business Name | ROY PEDIATRIC DENTISTRY LLC DBA WEE CARE PEDIATRIC DENTISTRY AND ORTHODONTICS
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 5682 S 3500 W UNIT A
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City | ROY
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State | UT
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Zip | 84067-9108
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Country | US
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Telephone | 801-773-8644
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Fax | 801-773-9828
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Provider Business Mailing Address
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Address Line | 5682 S 3500 W UNIT A
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City | ROY
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State | UT
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Zip | 84067-9108
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Country | US
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Telephone | 801-773-8644
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Fax | 801-773-9828
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Authorized Official
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Title or Position | DENTAL PROVIDER
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Name | CHARLES ODION
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Credential | DDS
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Telephone | 801-254-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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