DR. Dustin Kevin Ellsworth, DDS

NPI #1689304297 in Smithfield, Utah

Provider Information

NPI Number: 1689304297
Entity Type: Individual
Name: DR. Dustin Kevin Ellsworth, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 15, 2022
Last Updated: Jun 15, 2022

Practice Location

Address: 291 S MAIN ST STE C
City: Smithfield
State: Utah
ZIP Code: 84335-1902
Phone: (435) 760-7823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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