| Theodore Robert Small, DDS | |
|
30 W Medical Dr, Monument Valley, UT 84536-7705 | |
| (435) 727-3004 | |
| Not Available |
| Full Name | Theodore Robert Small |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 30 W Medical Dr, Monument Valley, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497112338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 140487-9926 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Robert Small, DDS 30 W Medical Dr, Monument Valley, UT 84536-7705 Ph: (510) 239-3172 | Theodore Robert Small, DDS 30 W Medical Dr, Monument Valley, UT 84536-7705 Ph: (435) 727-3004 |
Dr. Chris Matthew Jolley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 W Medical Dr, Monument Valley, UT 84536 Phone: 435-727-3000 Fax: 435-727-3001 | |
Dr. Mark Tyler Greene, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 West Medical Drive, Monument Valley, UT 84536 Phone: 713-376-5004 | |
Dr. Erin Williams Greene, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 West Medical Drive, Monument Valley, UT 84536 Phone: 435-727-3004 |