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ORAL & MAXILLOFACIAL IMAGING CENTER INC. NPI 1013069848


NPI Information

NPI: 1013069848
Provider Name: ORAL & MAXILLOFACIAL IMAGING CENTER, INC.

Other Name: OMIC

Classification: Dental Laboratory - 292200000X
Entity Type: Organization
Address:
7001 S 900 E
SUITE 310
MIDVALE, UT
ZIP 84047
Phone: (801) 255-8899
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ORAL & MAXILLOFACIAL IMAGING CENTER, INC. is a dental laboratory in Midvale, UT. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. ORAL & MAXILLOFACIAL IMAGING CENTER, INC. NPI is 1013069848. The provider is registered as an organization entity type.
The provider Other Name Is Omic.

The provider's business location address is:

7001 S 900 E
SUITE 310
MIDVALE, UT
ZIP 84047-718
Phone: (801) 255-8899

The provider's authorized official is Duane R. Perry .
The authorized official title is President and has the following contact phone number (801) 942-5003.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.


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
1292200000XDental Laboratory39396UTAHYes

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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