LEGACY HEIGHTS ORAL & FACIAL SURGERY PLLC; NPI #1912507153

Contact Information

LEGACY HEIGHTS ORAL & FACIAL SURGERY PLLC

193 S 200 W STE B
FARMINGTON, UT 84025-2406

Phone: 801-698-7121
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 LEGACY HEIGHTS ORAL & FACIAL SURGERY PLLC

NPI Number	`1912507153`
LBN Legal business name	LEGACY HEIGHTS ORAL & FACIAL SURGERY PLLC
Authorized official	DAYNE JENSEN - (OWNER/ORAL SURGEON)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/27/2020
Last updated	10/27/2020 - About 6 years ago
Identifiers	n/a

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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