Individual
JOHN R SCHOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
378 E 400 S STE 2, SPRINGVILLE, UT 84663-1982
(801) 491-9372
(801) 491-0856
Mailing address
1513 E 300 S, SPRINGVILLE, UT 84663-2771
(801) 491-8470
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1055
WY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
375746-9921
UT
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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