Trace Michael Lund, DDS

Pediatric Dentistry · Provo, UT

Individual Active NPI

NPI number 1912072620

Practice location

745 North 500 West
Suite 103
Provo, UT 84601
Phone
(801) 373-4200
Fax
(801) 373-0816

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NPI record

NPI
1912072620
Entity type
Individual (Type 1)
Enumeration date
November 21, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 344947-9922 UT
Pediatric Dentistry 1223P0221X 344947-8903 UT

About Dr. Lund

Trace Michael Lund, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 745 North 500 West, Suite 103, Provo, UT 84601. The NPI number 1912072620 was assigned on November 21, 2006 and the record was last updated on July 8, 2007.

Dr. Lund lists 2 licenses in the registry: #344947-9922 (UT) for Pediatric Dentistry; #344947-8903 (UT) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Trace Michael Lund, DDS?

The NPI number is 1912072620.

What is the phone number of Dr. Lund?

The phone number listed for the practice location is (801) 373-4200.

Where is Dr. Lund located?

745 North 500 West, Suite 103, Provo, UT 84601.

What is the taxonomy code for Dr. Lund?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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