Individual
DR. BRANDON SCHVANEVELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
398 SOUTH MAIN, SUITE 120, LOGAN, UT 84321
(435) 752-1434
(435) 752-1986
Mailing address
398 SOUTH MAIN, SUITE 120, LOGAN, UT 84321-3445
(435) 752-1434
(435) 752-1986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5412590-8903
UT
1223G0001X
General Practice Dentistry
Primary
5412590-9922
UT
1223G0001X
General Practice Dentistry
D-3699
ID
Other
Enumeration date
12/07/2007
Last updated
01/18/2019
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