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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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