Individual
BRETT DEAN SOMMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1662 W 9000 S STE A, WEST JORDAN, UT 84088-9237
(801) 255-6581
(801) 562-5395
Mailing address
1662 W 9000 S STE A, WEST JORDAN, UT 84088-9237
(801) 255-6581
(801) 562-5395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7088
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12205341
GENERAL DENTIST
UT
Enumeration date
06/29/2018
Last updated
08/09/2022
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