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UTAH WISDOM TEETH LLC NPI 1568974434


NPI Information

NPI: 1568974434
Provider Name: UTAH WISDOM TEETH, LLC

Doing Business As: WISDOM TEETH GUYS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1030 E 11400 S STE 2A
SANDY, UT
ZIP 84094
Phone: (801) 406-8670
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UTAH WISDOM TEETH, LLC is an oral and maxillofacial surgery dentist in Sandy, UT. The provider is the specialty of dentistry which includes 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. UTAH WISDOM TEETH, LLC NPI is 1568974434. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wisdom Teeth Guys.

The provider's business location address is:

1030 E 11400 S STE 2A
SANDY, UT
ZIP 84094-906
Phone: (801) 406-8670

The provider's authorized official is John Joshua Smith .
The authorized official title is Managing Member and has the following contact phone number (801) 694-8378.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery7359070UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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