NPI 1851528244

Matthew N Maxfield, DMD

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

Practice location

Address: 6710 S Blackstone Rd STE 104, Salt Lake City, UT 84121-6232
Phone: (801) 943-8703

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 8576847-9924 (UT)

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Registry record

NPI: 1851528244
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2009
Record last updated: 3 May 2019

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.