Dr. Niles Walter Herrod, DDS - Provo, UT

Dr. Niles Walter Herrod, DDS

Oral and Maxillofacial Surgery (Dentist) in Provo, Utah

NPI 1578646642

Niles Walter Herrod is a Oral and Maxillofacial Surgery (Dentist) based in Provo, UT and is specialized in Oral and Maxillofacial Surgery. Niles Walter Herrod practices in Provo, UT and has the professional credentials of DDS. The NPI Number for Niles Walter Herrod is 1578646642 and holds a License No. 1321679924 (Utah).

The current practice location address for Niles Walter Herrod is 777 N 500 W, Provo, UT and can be reached out via phone at 801-375-4707.

Location: 777 N 500 W, Provo, UT, 84604-5264

NPI Number

1578646642

Provider Name

Niles Walter Herrod

Credential

DDS

Provider Entity Type

Individual

Gender

Male

Address

777 N 500 W, Provo, UT, 84604-5264

Phone Number

801-375-4707

Fax Number

Provider Enumeration Date

10/23/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
20859	01		IHC

Address

777 N 500 W

City

Provo

State

Utah

Zip

84601-1541

Phone Number

801-375-4707

Fax Number

Address

777 N 500 W

City

Provo

State

Utah

Zip

84601-1541

Phone Number

801-375-4707

Fax Number

Type

Dental Providers

Classification

Dentist

Speciality

Oral and Maxillofacial Surgery

Taxonomy

1223S0112X

License No.

1321679924 (Utah)

Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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