Organization
G. TREVOR SMITH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN TREVOR SMITH DDS (DENTIST)
(801) 785-2574
Entity
Organization
Contact information
Practice address
60 E STATE RD, PLEASANT GROVE, UT 84062-2637
(801) 785-2574
(801) 785-2697
Mailing address
60 E STATE RD, PLEASANT GROVE, UT 84062-2637
(801) 785-2574
(801) 785-2697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
342046
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529432975012
—
UT
Enumeration date
01/18/2012
Last updated
01/18/2012
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