Organization · Type 2 NPI
Legacy Heights Surgery Center PC
Oral and Maxillofacial Surgery (Dentist) · Farmington, UT
NPI number
1992403661
Active
Practice location
1379 N 1075 W Ste 100B
Farmington, UT 84025-2711
Fax (801) 335-6087
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.
About NPI 1992403661
Legacy Heights Surgery Center PC's National Provider Identifier is 1992403661, issued on Feb 21, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Farmington, UT. The record was last updated on Feb 21, 2023.