Organization
SMITH AND MACDONALD PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ENGLAND SMITH DDS (MEMBER)
(801) 756-6048
Entity
Organization
Contact information
Practice address
148 S 1100 E, AMERICAN FORK, UT 84003-2817
(801) 756-6048
(801) 756-3545
Mailing address
148 S 1100 E, AMERICAN FORK, UT 84003-2817
(801) 756-6048
(801) 756-3545
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5602607-9923
UT
1223P0221X
Pediatric Dentistry
7689762-9923
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790943629
DR. MACDONALD NPI
UT
01
—
1811918329
DR. SMITH NPI
UT
Enumeration date
07/01/2011
Last updated
07/01/2011
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