Patricia Smyth D.D.S.,l.C.
Clinic/Center, Dental in Ogden, UT. Organization (NPI-2).
NPI number1104041565
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104041565
- Entity type
- Organization (NPI-2)
- Legal business name
- Patricia Smyth D.D.S.,l.C.
- Organization subpart
- No
- Enumeration date
- Apr 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 267450 | UT | Yes |
Practice location
5300 S. Adams Ave. Pkwy.Suite 1
Ogden, UT 84405-6955
Phone 801-476-1234 · Fax 801-479-4926
Mailing address
5300 S. Adams Ave. Pkwy.Suite 1
Ogden, UT 84405-6955
Phone 801-476-1234 · Fax 801-479-4926
Authorized official
Patricia Smyth
Owner
8014761234
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