Southridge Pediatric Dentistry
NPI 1225249683ActiveOrganization· Dentist· South Jordan, UT
Dentist in South Jordan, Utah, registered in NPPES in May 2007. The authorized official on file is David C. Roth, DDS, Owner.
Overview
| NPI | 1225249683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 343291 | UT |
| Dentist | 122300000X | 5667938 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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