| Pediatric Smiles Of Orem | |
|
167 N 400 W Suite A-4 Orem UT 84057-1909 | |
| (801) 224-0861 | |
| (801) 804-5899 |
| Full Name | Pediatric Smiles Of Orem |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 167 N 400 W, Orem, Utah |
| Authorized Official Name and Position | Adam Nicholas Shepherd (OWNER/MEMBER) |
| Authorized Official Contact | 18012240861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Smiles Of Orem 167 N 400 W Suite A-4 Orem UT 84057-1909 Ph: (801) 224-0861 | Pediatric Smiles Of Orem 167 N 400 W Suite A-4 Orem UT 84057-1909 Ph: (801) 224-0861 |
| NPI Number | 1366711087 |
|---|---|
| Provider Enumeration Date | 12/27/2011 |
| Last Update Date | 12/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366711087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8012319 (Utah) | Primary |
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