PRECISION IMPLANT & ORAL SURGERY PC; NPI #1164422739

Contact Information

PRECISION IMPLANT & ORAL SURGERY PC

754 S MAIN ST
SUITE 5
SAINT GEORGE, UT 84770-5504

Phone: 435-652-1445
Fax: 435-652-0138
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for PRECISION IMPLANT & ORAL SURGERY PC

NPI Number 1164422739

LBN Legal business name PRECISION IMPLANT & ORAL SURGERY PC

Authorized official SCOTT BULLOCH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2005

Last updated 10/12/2017 - About 9 years ago

Identifiers

UT	License #	273596-9924
UT	Medicaid	562454357012

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PRECISION IMPLANT & ORAL SURGERY PC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for PRECISION IMPLANT & ORAL SURGERY PC

Reviews for PRECISION IMPLANT & ORAL SURGERY PC