THEODORE ROBERT SMALL DDS
NPI 1497112338
Dentist in Monument Valley, UT

Q: What is Theodore Small's NPI number?

The NPI number for Theodore Small is 1497112338. It was assigned to this individual provider in the NPPES registry on January 22, 2016.

Q: What is Theodore Small's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Small was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2016

30 W MEDICAL DR, MONUMENT VALLEY, UT 84536(435) 727-3004 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Jan 22, 2016 (2 updates tracked since 2016).

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About Theodore Robert Small Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE ROBERT SMALL DDS (NPI 1497112338) is an individual dentist in Monument Valley, Utah, licensed in Utah (140487-9926) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1497112338

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTHEODORE ROBERT SMALLCredential: DDS

Location Address30 W MEDICAL DRMonument Valley, UT 84536-7705

Mailing Address30 W Medical DrMonument Valley, UT 84536-7705 · (510) 239-3172

Phone(435) 727-3004

Sole ProprietorYes

Enumeration DateJanuary 22, 2016

Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1497112338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 140487-9926

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

30 W MEDICAL DR, Monument Valley, UT 84536

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRIS MATTHEW JOLLEY DDS

Dentist (General Practice)