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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 Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for SOUTHWEST ORAL AND FACIAL SURGERY INC

NPI # 1821400532
LBN Legal business name SOUTHWEST ORAL AND FACIAL SURGERY INC
Authorized official JARED BROWN - (OWNER/SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2014
Last updated 05/29/2014 - About 12 years ago
Identifiers
UT License # 355097-9924
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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