NPI 1164422739

Precision Implant & Oral Surgery PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) St George, UT

Practice location

Address: 754 S Main St Suite 5, St George, UT 84770-5504
Phone: (435) 652-1445
Fax: (435) 652-0138

Authorised official

Name: Scott Edwin Bulloch
Title: President
Phone: (435) 652-1445

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 273596-9924 (UT)

Other Oral & Maxillofacial Surgery providers in Utah →

Registry record

NPI: 1164422739
Entity type: Organization
NPI issued: 26 Jul 2005
Record last updated: 12 Oct 2017

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.