Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Niles Walter Herrod, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1578646642

Dr. Niles Walter Herrod, DDS is an Oral and Maxillofacial Surgery (Dentist) in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

777 N 500 W Ste 102
Provo, UT 84601-1541
Phone: (801) 375-4707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1321679924 (UT)

Record details

NPI number1578646642
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 9, 2007
Mailing address871 Osmond Ln, Provo, UT 84604-5264

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