Organization · Type 2 NPI

Southwest Oral and Facial Surgery Inc

Oral and Maxillofacial Surgery Clinic/Center · South Jordan, UT

NPI number 1821400532 Active

Practice location

11748 S 3600 W, Suite 1
South Jordan, UT 84095-5922

Fax (801) 938-3413

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X355097-9924 (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.

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About NPI 1821400532

Southwest Oral and Facial Surgery Inc's National Provider Identifier is 1821400532, issued on May 29, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in South Jordan, UT. The record was last updated on May 29, 2014.