Brenden Lynn Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10832973 Issued in UT

Practice address

686 East 110 South
Suite 102
American Fork, UT 84003

Phone

(801) 756-4595

Fax

(801) 756-1827

NPI assigned

Apr 27, 2018

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah Valley Dental

  • Dental Clinic/Center
  • American Fork, UT
  • NPI 1205129095
  NPD

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1598253262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 EAST 110 SOUTH",
            "address_2": "SUITE 102",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-756-4595",
            "fax_number": "801-756-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 EAST 110 SOUTH",
            "address_2": "SUITE 102",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-756-4595",
            "fax_number": "801-756-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDEN",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D1106",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10832973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Albert Slater, MD
• Taunia F Sloat, MAED, LPC
• Smedley Management Services (BeeHive Homes of American Fork South)
• Smith and Macdonald Pediatric Dentistry
• Andrew Reid Smith
• Drew Smith
• Glenn Bona Smith, RPT
• Jennifer Morgan Smith, LMFT
• Jessa K Smith
• Larry Leroy Smith, MS, LCMHC, NCC, CCI

• General Practice Dentistry in American Fork, UT
• Providers in American Fork, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.