NPI 1275899809

Utah Oral Surgery & Dental Implant Center

Organisation Oral & Maxillofacial Surgery (D.M.D.) Salt Lake City, UT

Practice location

Address: 6243 S Redwood Rd STE 100, Salt Lake City, UT 84123-6408
Phone: (801) 269-1110

Authorised official

Name: Carma Nay
Title: Manager
Phone: (801) 269-1110

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 6216924-9924 (UT)

Other Oral & Maxillofacial Surgery providers in Utah →

Registry record

NPI: 1275899809
Entity type: Organization
NPI issued: 9 Apr 2012
Record last updated: 9 Apr 2012

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.