NPI 1154264844

Brightside Oral Surgery LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) West Jordan, UT

Practice location

Address: 5459 W 7800 S STE 100, West Jordan, UT 84081-6090
Phone: (801) 773-8644
Fax: (801) 773-9828

Authorised official

Name: Ebonie Gonzales
Title: Credentialing Specialist
Phone: (505) 850-3769

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Utah →

Registry record

NPI: 1154264844
Entity type: Organization
NPI issued: 9 Apr 2026
Record last updated: 9 Apr 2026

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.