Organization · Type 2 NPI

Ut Oms Specialty Dental Services PLLC

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

NPI number 1407613342 Active

Practice location

4046 S Highland Dr Ste 112
Salt Lake City, UT 84124-1687

Call (801) 273-5600 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.

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

See all in Salt Lake City →

NPI record

NPI: 1407613342
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 Orthofacial Surgery · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407613342

Ut Oms Specialty Dental Services PLLC's National Provider Identifier is 1407613342, issued on Mar 5, 2024. 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 Mar 5, 2024.