NPI 1245601012

Oral & Maxillofacial Surgeons of Utah

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

Practice location

Address: 2297 N Hill Field Rd Suite 105, Layton, UT 84041-6920
Phone: (801) 779-0506
Mailing address: 2297 N. Hill Field Road Suite 105, Layton, UT 84041

Authorised official

Name: Todd Liston
Title: Partner
Phone: (801) 779-0506

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Utah →

Registry record

NPI: 1245601012
Entity type: Organization
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

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.