Ernest Adam Sego
Individual provider Active NPI General Practice Dentistry · Smithfield, UT
NPI 1083075733 · NPPES record last updated Mar 9, 2016
Key facts
- NPI
- 1083075733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9450098-9922 (UT)
- Practice address
- 1189 South Main
Smithfield, UT 84335 - Phone
- (435) 563-3025
- NPI assigned
- Mar 9, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9450098-9922 | UT | MD | General Practice Dentistry |
Networks
- UT PPO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9450098-9922 | UT | Yes |
Addresses
Primary practice location
1189 South Main
Smithfield, UT 84335
Mailing address
1189 South Main
Smithfield, UT 84335
Phone (435) 563-3025
Other providers in Smithfield, UT
- Kristen Rose
- Rounds Dental, PLLC
- Jason B Roylance
- Safe Haven Home Care LLC
- Scholes Fitness & Physical Therapy
- Smithfield Canyon Eye Care, LLC
- Smithfield City Corp
- Summit Vision Center PLLC
- Suzanne Thorson
- Todd a Brown MD PC
All providers in Smithfield, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.