Organization · Type 2 NPI

Oral Maxillofacial Surgery PLLC

Oral and Maxillofacial Surgery (Dentist) · Provo, UT

NPI number 1497838577 Active

Practice location

777 N 500 W, Suite 102
Provo, UT 84601-1541

Call (801) 375-4707 Map

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.

23 other providers at this address

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About NPI 1497838577

Oral Maxillofacial Surgery PLLC's National Provider Identifier is 1497838577, issued on Oct 23, 2006. 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 Apr 7, 2015.