Organization · Type 2 NPI
Ut Oms Specialty Dental Services PLLC
Oral and Maxillofacial Surgery (Dentist) · Provo, UT
NPI number
1376206755
Active
Practice location
777 N 500 W Ste 102
Provo, UT 84601-1598
Mailing address
401 Church St Ste 1400
Nashville, TN 37219-2214
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
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About NPI 1376206755
Ut Oms Specialty Dental Services PLLC's National Provider Identifier is 1376206755, issued on Oct 21, 2021. 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 Oct 21, 2021.