Organization · Type 2 NPI

Utah & Oral & Facial Surgeons

Oral and Maxillofacial Surgery (Dentist) · Salt Lake City, UT

NPI number 1063880896 Active

Practice location

6268 S 900 E, 100
Salt Lake City, UT 84121-2497

Fax (801) 566-5119

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X64341369924 (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.

4 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Salt Lake City

See all in Salt Lake City →

About NPI 1063880896

Utah & Oral & Facial Surgeons's National Provider Identifier is 1063880896, issued on Sep 10, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 10, 2015.