NPI 1093713554

Davis Center for Oral & Maxillofacial Surgery

Organisation Oral and Maxillofacial Pathology Dentistry Layton, UT

Practice location

Address: 890 W Heritage Park Blvd. Suite 103, Layton, UT 84041
Phone: (801) 614-0999
Fax: (801) 614-0998

Authorised official

Name: Paul Benson
Title: Owner
Phone: (801) 614-0999

Registered specialties

Oral and Maxillofacial Pathology Dentistry Primary

Dental Providers Taxonomy 1223P0106X Licence 4124 (UT)

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Registry record

NPI: 1093713554
Entity type: Organization
NPI issued: 8 Jul 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.