IndividualActive
Theodore Small, DDS
NPI 1497112338 · Dentist · Monument Valley, UT
Provider details
- NPI number
- 1497112338
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 140487-9926 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 W Medical Dr
Monument Valley, UT 84536-7705
Phone: (435) 727-3004
Approximate (ZIP-level) locationGet directions
Mailing address
30 W Medical Dr
Monument Valley, UT 84536-7705
Registry dates
- Enumerated
- 2016-01-22
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.