ORAL MAXILLOFACIAL SURGERY PLLC is an oral and maxillofacial surgery dentist in Provo, UT. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ORAL MAXILLOFACIAL SURGERY PLLC NPI is 1497838577. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
777 N 500 W
SUITE 102
PROVO, UT
ZIP 84601-541
Phone: (801) 375-4707
The provider's authorized official is Janine Gale .
The authorized official title is Asst. Office Manager and has the following contact phone number (801) 375-4707.
The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/7/2015.