| G. Trevor Smith, Dds, Pc | |
|
60 E State Rd Pleasant Grove UT 84062-2637 | |
| (801) 785-2574 | |
| (801) 785-2697 |
| Full Name | G. Trevor Smith, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 60 E State Rd, Pleasant Grove, Utah |
| Authorized Official Name and Position | Gavin Trevor Smith (DENTIST) |
| Authorized Official Contact | 8017852574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Trevor Smith, Dds, Pc 60 E State Rd Pleasant Grove UT 84062-2637 Ph: (801) 785-2574 | G. Trevor Smith, Dds, Pc 60 E State Rd Pleasant Grove UT 84062-2637 Ph: (801) 785-2574 |
| NPI Number | 1760753099 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760753099 | NPI | - | NPPES |
| 529432975012 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 342046 (Utah) | Primary |
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