Organization
WS PLLC
Active
Organization
WS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM NICHOLAS SHEPHERD DDS (PARTNER)
(801) 434-5437
Entity
Organization
Contact information
Practice address
167 N 400 W, #A4, OREM, UT 84057-1909
(801) 434-5437
Mailing address
167 N 400 W, #A4, OREM, UT 84057-1909
(801) 434-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
8012319
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
370600-9921
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174859060
—
UT
05
—
1306080353
—
UT
Enumeration date
09/26/2016
Last updated
09/26/2016
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