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DR. NILES WALTER HERROD DDS
NPI 1578646642
Dentist - Oral and Maxillofacial Surgery in Provo, UT

Active since October 23, 2006
777 N 500 W, SUITE 102, PROVO, UT 84601(801) 375-4707 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Niles Walter Herrod Dds NPPES

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

DR. NILES WALTER HERROD DDS (NPI 1578646642) is an individual oral and maxillofacial surgery provider in Provo, Utah, licensed in Utah (1321679924) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1578646642
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NILES WALTER HERRODCredential: DDS
Location Address777 N 500 W, SUITE 102Provo, UT 84601-1541
Mailing Address871 Osmond LnProvo, UT 84604-5264 · (801) 225-7229
Phone(801) 375-4707
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1578646642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in UT · 1321679924
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
777 N 500 W, Provo, UT 84601
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Other Identifiers 2

Medicare UPINT77933
Other20859Ihc

Other Providers at the Same Location NPPES 20

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

DR. LOUIS A ERICKSON DDS
Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Utah County (801) 374-5100
DR. GARY M HULET DMD
Dentist
777 N 500 W, SUITE 101B
PROVO, UT 84601
Utah County (801) 375-1275
LIFE INTEGRATIVE HEALTH CENTER
Clinic/Center
777 N 500 W, SUITE 104
PROVO, UT 84601
Utah County (801) 869-8199
DR. WILLIAM LECILE MCBEE DDS
Dentist (Oral and Maxillofacial Surgery)
777 N 500 W, SUITE 102
PROVO, UT 84601
Utah County (801) 375-4707
KYLE KONE LAMFT
Marriage & Family Therapist
777 N 500 W, #104
PROVO, UT 84601
Utah County (801) 869-8199
WISE CHOICE DENTISTRY INC.
Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Utah County (801) 374-5200
LYNDI JENSON D.D.S
Dentist
777 N 500 W
PROVO, UT 84601
Utah County (801) 455-5244
KELLY A GOMEZ DPM PC
Clinic/Center (Podiatric)
777 N 500 W, SUITE 105
PROVO, UT 84601
Utah County (801) 375-6677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niles Herrod's NPI number?

The NPI number for Niles Herrod is 1578646642. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Niles Herrod located?

Niles Herrod practices at 777 N 500 W Suite 102, Provo, UT 84601. The listed phone number is (801) 375-4707.

What is Niles Herrod's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Niles Herrod was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.