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Deactivated NPI 1750376935 Deactivated / Inactive NPI Male Practitioner

Dr. Wallace D Smith , MD

Obstetrics & Gynecology • Bountiful, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wallace Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2005
NPI Deactivation Date July 30, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Smith, MD was a registered Obstetrics & Gynecology practicing in Bountiful, UT. Throughout an active medical career spanning 21 years, Dr. Smith provided care at the practice location at 620 MEDICAL DR until profile deactivation on 2026-07-30.

Practice Location & Contact Primary Location

Practice Address

620 Medical Dr
Suite 340

Bountiful, UT 840104908

Telephone 8012992229
Fax 8012992230
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Obstetrics & Gynecology in Bountiful, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Bountiful, UT (397 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Obstetrics & Gynecology Primary Specialty

NUCC Taxonomy Code: 207V00000X

State License UT 163585-1205

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Nathan Ward , MD

Obstetrics & Gynecology

NPI 1134114473

Doctor of Medicine (M.D.)

Dr. Ryan Empey , MD

Obstetrics & Gynecology

NPI 1154589505

Doctor of Medicine (M.D.)

Dr. Gina Muscolino , MD

Obstetrics & Gynecology

NPI 1194825117

Doctor of Medicine (M.D.)

Dr. Ryan Porter , MD

Obstetrics & Gynecology

NPI 1235387218

Doctor of Medicine (M.D.)

Dr. Whitney Ramos-Jensen , MD

Obstetrics & Gynecology

NPI 1295180420

Doctor of Medicine (M.D.)

Laura Zaugg , NP

Advanced Practice Midwife

NPI 1598831604

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 30, 2026

Record deactivated on July 30, 2026

NPI Profile Active January 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2008

Registered at 620 MEDICAL DR, SUITE 340, BOUNTIFUL, UT 840104908 (Tel: 8012992229)

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Updated Business Mailing Address January 11, 2008

Registered at 620 MEDICAL DR, SUITE 340, BOUNTIFUL, UT 840104908 (Tel: 8012992229)

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Provider Name / Credentials Updated January 11, 2008

Recorded as WALLACE SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2008

Obstetrics & Gynecology (License #163585-1205 in UT)

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Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750376935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: January 11, 2008
Deactivation Date: July 30, 2026

Mailing Address

620 Medical Dr, Suite 340

Bountiful, UT 840104908

Phone: 8012992229

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.