Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689304297 Individual Practitioner Male Practitioner

Dr. Dustin Kevin Ellsworth , DDS

Dentist - General Practice • Smithfield, UT

Professional Overview & Biography Verified Profile Summary

Dr. Dustin Ellsworth, DDS is a registered healthcare professional specializing in Dentist - General Practice in Smithfield, UT. Practice services are available at 291 S MAIN ST STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

291 S Main St Ste C

Smithfield, UT 843351902

Telephone 4357607823

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Smithfield, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Smithfield, UT (1388 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

CMS Verified: 2022-06-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 12885950-9922

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 15, 2022

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2022

Registered at 291 S MAIN ST STE C, SMITHFIELD, UT 843351902 (Tel: 4357607823)

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Updated Business Mailing Address June 15, 2022

Registered at 395 E 1400 N STE B, LOGAN, UT 843417575 (Tel: 4357607823)

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Provider Name / Credentials Updated June 15, 2022

Recorded as DUSTIN ELLSWORTH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2022

Dentist (License #12885950-9922 in UT)

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Initial NPI Registration & Enumeration June 15, 2022

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: 1689304297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2022
Last Update: June 15, 2022
Sole Proprietor: Yes

Mailing Address

395 E 1400 N Ste B

Logan, UT 843417575

Phone: 4357607823

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.