ORAL & MAXILLOFACIAL IMAGING CENTER, INC.; NPI #1013069848

Contact Information

ORAL & MAXILLOFACIAL IMAGING CENTER, INC.

7001 S 900 E
SUITE 310
MIDVALE, UT 84047-1718

Phone: 801-255-8899
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental Laboratory	292200000X

Indicates primary specialty

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

NPI # 1013069848

LBN Legal business name ORAL & MAXILLOFACIAL IMAGING CENTER, INC.

Authorized official DUANE PERRY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/18/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

39396

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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ORAL & MAXILLOFACIAL IMAGING CENTER, INC.

Contact Information

Specialty

Dental Laboratory

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

Reviews for ORAL & MAXILLOFACIAL IMAGING CENTER, INC.