Organization
PEDIATRIC SMILES PLLC
Active
Other names
Pediatric Smiles of Orem
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM NICHOLAS SHEPHERD DDS (OWNER/MEMBER)
18012240861
Entity
Organization
Contact information
Practice address
167 N 400 W, SUITE A-4, OREM, UT 84057-1909
(801) 224-0861
(801) 804-5899
Mailing address
167 N 400 W, SUITE A-4, OREM, UT 84057-1909
(801) 224-0861
(801) 804-5899
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8012319
UT
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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