Ronald Tye Smith, DDS Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1760514376
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 142407-9922 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-09
- Last updated
- 2007-07-08
Practice location
3651 N 100 E Ste 175
Provo, UT 84604-4542
(801) 356-3025