Organization · Type 2 NPI
Logan Oral Surgery
Oral and Maxillofacial Surgery Clinic/Center · North Logan, UT
NPI number
1598024341
Active
Practice location
3125 N. Main Street, Ste #103
North Logan, UT 84341-1550
Fax (435) 535-2464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 8227102-9924 (UT) |
Oral and Maxillofacial Surgery Clinic/Center: 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.
About NPI 1598024341
Logan Oral Surgery's National Provider Identifier is 1598024341, issued on May 15, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in North Logan, UT. The record was last updated on Apr 28, 2014.