UTAH ORAL SURGERY & DENTAL IMPLANT CENTER; NPI #1275899809

Contact Information

UTAH ORAL SURGERY & DENTAL IMPLANT CENTER

6243 S REDWOOD RD STE 100
SALT LAKE CITY, UT 84123-6408

Phone: 801-269-1110
Fax:
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 UTAH ORAL SURGERY & DENTAL IMPLANT CENTER

NPI Number 1275899809

LBN Legal business name UTAH ORAL SURGERY & DENTAL IMPLANT CENTER

Authorized official CARMA NAY - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/09/2012

Last updated 04/09/2012 - About 14 years ago

Identifiers

License #

6216924-9924

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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UTAH ORAL SURGERY & DENTAL IMPLANT CENTER

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for UTAH ORAL SURGERY & DENTAL IMPLANT CENTER

Reviews for UTAH ORAL SURGERY & DENTAL IMPLANT CENTER