Organization · Type 2 NPI

Summit Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Salt Lake City, UT

NPI number 1679955017 Active

Practice location

1250 E 3900 S, Ste 210
Salt Lake City, UT 84124-1348

Call (801) 265-1500 Map

Fax (801) 265-9963

Mailing address

1250 E 3900 S Ste 210
Salt Lake City, UT 84124-1367

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X7835316 (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.

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About NPI 1679955017

Summit Oral & Maxillofacial Surgery's National Provider Identifier is 1679955017, issued on Jun 22, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 23, 2015.