IndividualActive
Wayne Chisholm, D.D.S.
NPI 1316118284 · General Practice Dentistry · Monroe, UT
Provider details
- NPI number
- 1316118284
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 134634 (UT)
Specialties & taxonomies
Dental Providers
Practice location
30 South Main Street
Monroe, UT 84754
Phone: (435) 527-3555
Fax: (435) 527-3618
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 69
Monroe, UT 84754-0069
Registry dates
- Enumerated
- 2008-03-18
- Last updated
- 2008-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.