Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRACE MICHAEL LUND, DDS
ActiveMR. TRACE MICHAEL LUND, DDS is a Pediatric Dentistry healthcare provider located in PROVO, Utah. NPI 1912072620 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PROVO, UT
Registration Details
- NPI Number
- 1912072620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.700272402857 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
344947-9922 (UT)344947-8903 (UT)
Practice Information
- Address
-
745 NORTH 500 WESTSUITE 103PROVO, UT, 84601Browse UT providers · Browse ZIP 84601
- Phone
- 8013734200
- Fax
- 8013730816
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DONALD RAY GIFFORD | DDS | 1821093048 |
| MR. KEVIN RICHARD MARKHAM | DDS | 1598830291 |
| DR. JOHN RYAN BLANKENSHIP | DMD | 1760828834 |
| DR. BRYCE JOHN BOTT | D.M.D. | 1811446727 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.