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Individual

ALAN SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
82 S 700 W, HURRICANE, UT 84737-2462
(435) 635-4333
(435) 635-4331
Mailing address
PO BOX 971131, OREM, UT 84097-1131
(435) 653-4333
(435) 635-4331

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12533306-9923
UT
1223G0001X
General Practice Dentistry
DS025854
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001102800003
PA
05
001102800004
PA
05
001102800005
PA
05
001102800006
PA
05
001102800007
PA
05
001102800010
PA
05
001102800011
PA
05
001102800012
PA
05
001102800013
PA
05
001102800014
PA
05
001102800015
PA
05
001102800016
PA
05
001102800017
PA
Enumeration date
04/07/2006
Last updated
10/12/2022
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