Individual provider · Type 1 NPI
Dustin Kevin Ellsworth, DDS
General Practice Dentistry · Smithfield, UT
NPI number
1689304297
Active
Practice location
291 S Main St Ste C
Smithfield, UT 84335-1902
Mailing address
395 E 1400 N Ste B
Logan, UT 84341-7575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12885950-9922 (UT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Chad M. Harris, D.D.SGeneral Practice Dentistry Smithfield, UT NPI 1811919020
- Jonathan David Miles, DDSGeneral Practice Dentistry Smithfield, UT NPI 1942341243
About NPI 1689304297
Dustin Kevin Ellsworth, DDS's National Provider Identifier is 1689304297, issued on Jun 15, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Smithfield, UT. The record was last updated on Jun 15, 2022.