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Individual

DR. NICHOLAS SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
991 SHEPARD LN STE 100, FARMINGTON, UT 84025-2973
(801) 447-5437
Mailing address
728 CHELSIE DR, KAYSVILLE, UT 84037-9587

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
133449269926
UT
1223P0221X
Pediatric Dentistry
Primary
13344926-9925
UT

Other

Enumeration date
06/09/2022
Last updated
08/07/2024
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