Organization · Type 2 NPI
Gregory W Egbert DDS MSD PC
Oral and Maxillofacial Surgery (Dentist) · Slc, UT
NPI number
1023040763
Active
Practice location
1250 E 3900 So, Ste 210
Slc, UT 84124-1367
Fax (801) 265-1523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 143512 (UT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1023040763
Gregory W Egbert DDS MSD PC's National Provider Identifier is 1023040763, issued on Jul 6, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Slc, UT. The record was last updated on Aug 22, 2020.