SearchUtah122300000X

Bruce Godderidge, DMD

NPI 1053436816 · on the registry since 2007

Practice

Address
291 South Main
Suite A
Smithfield, UT 84335
Phone
(435) 563-6213
Fax
(435) 563-8443

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah