Organization · Type 2 NPI
Bountiful Oral Surgery, P.c.
Oral and Maxillofacial Surgery (Dentist) · Bountiful, UT
NPI number
1861147100
Active
Practice location
625 E 500 S Ste 204
Bountiful, UT 84010-3883
Fax (801) 294-9920
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
Other oral and maxillofacial surgery (dentist) providers in Bountiful
About NPI 1861147100
Bountiful Oral Surgery, P.c.'s National Provider Identifier is 1861147100, issued on Feb 15, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bountiful, UT. The record was last updated on May 27, 2025.