Provider Demographics
NPI:1013608074
Name:ROUNDS DENTAL, PLLC
Entity Type:Organization
Organization Name:ROUNDS DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:435-713-5198
Mailing Address - Street 1:629 E CANYON RIM RD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84335-3107
Mailing Address - Country:US
Mailing Address - Phone:435-713-5198
Mailing Address - Fax:
Practice Address - Street 1:291 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84335-1902
Practice Address - Country:US
Practice Address - Phone:435-563-6213
Practice Address - Fax:435-563-8443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental