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Contact Information

ALVIN J STOSICH, MD, DDS
6268 S 900 E
STE 100
SALT LAKE CITY, UT84121-2497
 Phone: 801-566-5117
 Fax: 801-566-5119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for ALVIN J STOSICH · (Male)

NPI Number 1689795114
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 04/02/2007
Last updated 11/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 6395
  • UT License # 6434136-1205
  • UT License # 6434136-9925
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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