Whalio Doctors

NPI 1689795114

Alvin J Stosich, MDDDS

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

Practice location

Address
6268 S 900 E STE 100, Salt Lake City, UT 84121-2497
Phone
(801) 566-5117
Fax
(801) 566-5119

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 6434136-1205 (UT)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 6434136-9925 (UT)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 6395 (NE)

Registry record

NPI
1689795114
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Apr 2007
Record last updated
1 Nov 2021

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.