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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALVIN J STOSICH, MD, DDS

Active Sole Proprietor

DR. ALVIN J STOSICH, MD, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SALT LAKE CITY, Utah. NPI 1689795114 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · SALT LAKE CITY, UT

Registration Details

NPI Number
1689795114
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2007 (19.325880296307 yrs)
Last Updated
Nov 1, 2021
Licenses
6434136-9925 (UT)
6395 (NE)
6434136-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
6268 S 900 E
STE 100
SALT LAKE CITY, UT, 841212497
Browse UT providers · Browse ZIP 84121
Phone
8015665117
Fax
8015665119
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in SALT LAKE CITY, UT

Name Credential NPI
GREGORY WILLIAM EGBERT DDS, MSD 1700809969
NATHAN G ADAMS DMD, MD 1174604128
MICHAEL A GLADWELL D.M.D., MD 1639250673
DR. STEVEN E CHRISTENSEN DDS 1376607721
MATTHEW N MAXFIELD DMD 1851528244
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.