Individual
THEODORE ROBERT SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 W MEDICAL DR, MONUMENT VALLEY, UT 84536-7705
(435) 727-3004
Mailing address
30 W MEDICAL DR, MONUMENT VALLEY, UT 84536-7705
(510) 239-3172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
140487-9922
UT
122300000X
Dentist
Primary
140487-9926
UT
Other
Enumeration date
01/22/2016
Last updated
02/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us