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NPI Code Detail

MEDICARE: SMITH PEDIATRIC DENTISTRY

MEDICARE: SMITH PEDIATRIC DENTISTRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry5602607-9923UT

General Provider Information

NPI Number : 1972825685
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMITH PEDIATRIC DENTISTRY
Provider Business Mailing Address
First Line : 5594 W 9660 N
Second Line :
City : HIGHLAND
State : UT
Zip : 84003-4809
Country : US
Telephone Number : 801-885-2703
Fax Number :
Provider Business Practice Location Address
First Line : 2204 2ND AVE W
Second Line :
City : WILLISTON
State : ND
Zip : 58801-3485
Country : US
Telephone Number : 701-360-7510
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATHAN ENGLAND SMITH
Credential : DDS
Telephone Number : 801-885-2703
Provider Enumeration Date : 02/22/2010
Last Update Date : 05/29/2026

Similar Medicare Providers

1811918329 — DR. NATHAN ENGLAND SMITH D.D.S.
Practice Location Address:
2204 2ND AVE W
WILLISTON, ND
58801-3485
Practice Phone: 701-360-7510
Practice Fax:
1588750897 — DR. RONALD AARON WRIGHT DC DOCTOR OF CHIROPR
Practice Location Address:
2204 2ND AVENUE WEST , SUITE 103
WILLISTON, ND
58801-3485
Practice Phone: 701-572-2951
Practice Fax: 701-572-8504
1194891648 — DR. JOHN WILMONT HAMILTON D.D.S.
Practice Location Address:
2204 2ND AVE W , SUITE 101
WILLISTON, ND
58801-3485
Practice Phone: 701-774-8822
Practice Fax: 701-774-8823
1679622039 — DR. BRAD DOUGLAS BEKKEDAHL DDS
Practice Location Address:
2204 2ND AVE W , SUITE 102
WILLISTON, ND
58801-3485
Practice Phone: 701-774-3333
Practice Fax: 701-572-8504
1487066908 — JOHN W. HAMILTON DDS PC
Practice Location Address:
2204 2ND AVE W , SUITE 101
WILLISTON, ND
58801-3485
Practice Phone: 701-774-8822
Practice Fax: 701-774-8823
1942681598 — RONALD WRIGHT, DC
Practice Location Address:
2204 2ND AVE W
WILLISTON, ND
58801-3485
Practice Phone: 701-572-2951
Practice Fax: 701-572-8504

Directions to “SMITH PEDIATRIC DENTISTRY ” Practice Location

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