National Provider Identifier Database

SOUTHWEST ORAL AND FACIAL SURGERY INC
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

SOUTHWEST ORAL AND FACIAL SURGERY INC
11748 S 3600 W
SUITE 1
SOUTH JORDAN, UT84095-5922
Phone: 801-938-3412
Fax: 801-938-3413
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for SOUTHWEST ORAL AND FACIAL SURGERY INC

NPI Number 1821400532
Legal business name
LBN
SOUTHWEST ORAL AND FACIAL SURGERY INC
Authorized official JARED BROWN - (OWNER/SURGEON)
Entity Organization
Organization subpart No
Enumeration date 05/29/2014
Last updated 05/29/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 355097-9924

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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