Kids Town Pediatric Dentistry of Syracuse
Pediatric dental practice in Syracuse, UT
Registered providerLicense # listed (UT)
Public-record details
- Address
- 780 S 2000 W, Suite #F-2, Syracuse, UT 84075
- Phone
- (801) 776-8176
- Listed under
- Practices and organizations
- NPI
- 1992179964
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Pediatric Dentistry (1223P0221X)
- License number on NPI record
- 6362621-9922 (UT)
- Authorized official
- Brett Packham, DDS, Member
- NPI first issued
- Nov 13, 2015
- Years since NPI first issued
- 11 years (since 2015)
- License state on NPI record
- UT
- NPI record last updated
- Nov 13, 2015
- Pediatric dentistry listings at this street address
- 1 (only this one)
Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Pediatric Dentist Index does not vet, employ, recommend or guarantee pediatric dental practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Dentist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error
What these registry facts mean
Registered specialty is not board certification. Verify the license with the state dental board and board certification with the American Board of Pediatric Dentistry. Ask which insurance and Medicaid/CHIP plans the practice accepts.