Organization · Type 2 NPI

Intermountain Dental Associates - Surgical Associates

Oral and Maxillofacial Surgery (Dentist) · North Ogden, UT

NPI number 1598033409 Active

Practice location

2721 N 400 E, Suite 2
North Ogden, UT 84414-2393

Fax (801) 786-0520

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X144024-9922 (UT)

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.

6 other providers at this address

About NPI 1598033409

Intermountain Dental Associates - Surgical Associates's National Provider Identifier is 1598033409, issued on Dec 6, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in North Ogden, UT. The record was last updated on Dec 6, 2011.