Peter N Smith, DMD, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7366911 Issued in UT

Practice address

503 E 770 N
Orem, UT 84097

Phone

(801) 224-0610

Fax

(801) 225-1402

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1073736070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84097",
            "telephone_number": "801-224-0610",
            "fax_number": "801-225-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84097",
            "telephone_number": "801-224-0610",
            "fax_number": "801-225-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "7366911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200840420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Hansen Smith, PHD
• Micah Jeremy Smith, DO
• Michelle D Smith, FNP
• Millie Smith
• Nicole Greenwood Smith, LCSW
• Rylie Rae Smith
• Suzanne Marie Smith, CPM LDEM
• Tanya Beesley Smith, LCMHC, ASUDC
• Traci Smith
• Trinity C Smith

• Periodontics in Orem, UT
• Providers in Orem, UT by specialty
• Periodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.