Individual
DR. PETER N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
503 E 770 N, OREM, UT 84097
(801) 224-0610
(801) 225-1402
Mailing address
503 E 770 N, OREM, UT 84097
(801) 224-0610
(801) 225-1402
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7366911
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200840420
—
IN
Enumeration date
04/10/2007
Last updated
08/25/2010
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