Organization · Type 2 NPI
Oral Maxillofacial Surgery, PLLC
Oral and Maxillofacial Surgery (Dentist) · Pleasant Grove, UT
Practice location
912 N 2000 W
Pleasant Grove, UT 84062-4047
Mailing address
777 N 500 W, Suite 102
Provo, UT 84601-1541
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
About NPI 1518040591
Oral Maxillofacial Surgery, PLLC's National Provider Identifier is 1518040591, issued on Oct 23, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pleasant Grove, UT. The record was last updated on May 13, 2010.