National Provider Identifier Database

ORAL MAXILLOFACIAL IMAGING CENTER INC
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.


Contact Information

ORAL & MAXILLOFACIAL IMAGING CENTER, INC.
7001 S 900 E
SUITE 310
MIDVALE, UT84047-1718
Phone: 801-255-8899
Fax:
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for ORAL & MAXILLOFACIAL IMAGING CENTER, INC.

NPI Number 1013069848
Legal business name
LBN
ORAL & MAXILLOFACIAL IMAGING CENTER, INC.
Authorized official DUANE PERRY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 39396

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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