NPI 1407261506

Utah Facial & Oral Surgery

Organisation Preferred Provider Organization South Jordan, UT

Practice location

Address: 3473 W South Jordan Pkwy #4, South Jordan, UT 84095-6015
Phone: (801) 446-4428
Fax: (801) 542-0071

Authorised official

Name: Christopher J Price
Title: Doctor/Owner
Phone: (801) 446-4428

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 6922082-9924 (UT)

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Registry record

NPI: 1407261506
Entity type: Organization
NPI issued: 26 Jun 2014
Record last updated: 26 Jun 2014

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.