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
Phone: (801) 785-2574
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326255993 | NPPES |
Utah | Other | 3420469922 | STATE LICENSE |
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