RYAN K AUSTIN, DDS PC; NPI #1558744748

Contact Information

RYAN K AUSTIN, DDS PC

5742 S 1475 E STE 100
SOUTH OGDEN, UT 84403-4857

Phone: 801-399-3701
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for RYAN K AUSTIN, DDS PC

NPI Number 1558744748

LBN Legal business name RYAN K AUSTIN, DDS PC

Authorized official RYAN AUSTIN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/07/2015

Last updated 07/07/2015 - About 11 years ago

Identifiers

UT	License #	9105773
TN	Other	1629205034	NPI

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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