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Contact Information

UTAH ORAL & FACIAL SURGEONS
6268 SOUTH 900 EAST
#100
SALT LAKE CITY, UT84121
 Phone: 801-566-5117
 Fax: 801-566-5119
 Website: http://utofs.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for UTAH ORAL & FACIAL SURGEONS

NPI # 1063880896
LBN Legal business name UTAH ORAL & FACIAL SURGEONS
Authorized official ALVIN STOSICH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/10/2015
Last updated 09/10/2015 - About 11 years ago
Identifiers
UT License # 64341369924
UT Medicaid 519239432001
WY Medicaid 127067200
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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