Individual
DR. J. RICHARD SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2180 E 4500 S, SUITE 250, HOLLADAY, UT 84117-4434
(801) 272-8609
(807) 272-6167
Mailing address
2180 E 4500 S, SUITE 250, HOLLADAY, UT 84117-4434
(801) 272-8609
(801) 272-6167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2065
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528654698001
—
UT
Enumeration date
01/30/2007
Last updated
07/08/2007
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