Organization · Type 2 NPI

Wisdom Teeth of Southern Utah

Oral and Maxillofacial Surgery (Dentist) · St. George, UT

NPI number 1467916528 Active

Practice location

446 S Mall Dr Ste 100
St. George, UT 84790-4944

Fax (435) 627-9954

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

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About NPI 1467916528

Wisdom Teeth of Southern Utah's National Provider Identifier is 1467916528, issued on Jan 23, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. George, UT. The record was last updated on Jan 23, 2019.