Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
INTERMOUNTAIN ORAL & MAXILLOFACIAL SURGERY
Active OrganizationINTERMOUNTAIN ORAL & MAXILLOFACIAL SURGERY is a Oral & Maxillofacial Surgery organization located in TAYLORSVILLE, Utah. NPI 1760745251 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1760745251
- Provider Type
- Organization
- NPI Issued
- Jun 19, 2012 (14.188925710109 yrs)
- Last Updated
- Jun 19, 2012
- License
-
LIC-4-12-7785 (UT)
Practice Information
- Address
-
6287 S REDWOOD RD#103TAYLORSVILLE, UT, 841236634Browse UT providers · Browse ZIP 84123
- Phone
- 8012612444
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.