Individual
DR. RONALD TYE SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3651 N 100 E STE 175, PROVO, UT 84604-4542
(801) 356-3025
(801) 371-8810
Mailing address
3651 N 100 E STE 175, PROVO, UT 84604-4542
(801) 356-3025
(801) 371-8810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
142407-9922
UT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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