Provider Demographics
NPI:1073615100
Name:NANCE, DAVID KENT (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KENT
Last Name:NANCE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 S 1700 E
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-2733
Mailing Address - Country:US
Mailing Address - Phone:801-489-8282
Mailing Address - Fax:
Practice Address - Street 1:285 E 400 S
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1957
Practice Address - Country:US
Practice Address - Phone:801-489-1000
Practice Address - Fax:801-489-8351
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice