Organization · Type 2 NPI

Ut Oms Specialty Dental Services PLLC

Oral and Maxillofacial Surgery (Dentist) · Provo, UT

NPI number 1235996174 Active

Practice location

777 N 500 W Ste 102
Provo, UT 84601-1598

Call (801) 341-2428 Map

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

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.

Another provider at this address

Ut Oms Specialty Dental Services PLLCOral and Maxillofacial Surgery (Dentist) Provo, UT NPI 1376206755

Other oral and maxillofacial surgery (dentist) providers in Provo

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NPI record

NPI: 1235996174
Entity type: Organization (Type 2)
Issued: Mar 5, 2024
Last updated: Mar 5, 2024
Status: Active
Subpart: Yes of Ut Oms Specialty Dental Services PLLC

Other names

Utah Oral Surgeons · doing business as

Authorized official

Charlotte E Vial
Director of Cred and PR
(504) 638-0303

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About NPI 1235996174

Ut Oms Specialty Dental Services PLLC's National Provider Identifier is 1235996174, issued on Mar 5, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Provo, UT. The record was last updated on Mar 5, 2024.