IndividualActive
Dustin Ellsworth, DDS
NPI 1689304297 · General Practice Dentistry · Smithfield, UT
Provider details
- NPI number
- 1689304297
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12885950-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
291 S Main St Ste C
Smithfield, UT 84335-1902
Phone: (435) 760-7823
Approximate (ZIP-level) locationGet directions
Mailing address
395 E 1400 N Ste B
Logan, UT 84341-7575
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.