National Provider Identifier Database

UTAH SURGICAL ARTS
Oral and Maxillofacial Surgery

The specialty of dentistry which includes 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.


Contact Information

UTAH SURGICAL ARTS
3610 N UNIVERSITY AVE
SUITE 150
PROVO, UT84604-4437
Phone: 801-356-2226
Fax: 801-812-1734
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for UTAH SURGICAL ARTS

NPI Number 1275722357
Legal business name
LBN
UTAH SURGICAL ARTS
Authorized official MICHAEL HARRIS - (ORAL/MAXILLOFACIAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 10/15/2007
Last updated 10/23/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 39634

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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