NPI 1700809969

Gregory William Egbert, DDSMSD

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

Practice location

Address: 1250 E 3900 S STE 210, Salt Lake City, UT 84124-1367
Phone: (801) 265-1500
Fax: (801) 265-9963
Mailing address: 1250 E 3900 So STE 210, Salt Lake City, UT 84124-1367

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 143512 (UT)

Other Oral & Maxillofacial Surgery providers in Utah →

Registry record

NPI: 1700809969
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2006
Record last updated: 8 Jul 2007

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.