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Bruce Godderidge, DMD — NPI 1053436816, Smithfield, UT | NPI Central

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NPI 1053436816

IndividualActive

Bruce Godderidge, DMD

NPI 1053436816 · Dentist · Smithfield, UT

Provider details

NPI number: 1053436816
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 1431759922 (UT)

Specialties & taxonomies

DentistPrimary122300000XLicense 1431759922 (UT)
Dental Providers

Practice location

291 South Main

Suite a

Smithfield, UT 84335

Phone: (435) 563-6213

Fax: (435) 563-8443

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

291 So Main

Smithfield, UT 84335

Registry dates

Enumerated: 2007-03-20
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.