Smith, Gavin Trevor

Smith, Gavin Trevor is an individual health care provider with primary practice located at 60 E State Rd , Pleasant Grove UT 84062-2637. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Gavin Trevor can be contacted via phone (801) 785-2574.

Contact Information

Primary practice address
60 E State Rd Pleasant Grove UT 84062-2637
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3420469922 Utah

Profile Details

NPI number 1326255993
LBN Legal business name Smith, Gavin Trevor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326255993 NPPES
Utah Other 3420469922 STATE LICENSE

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