GREGORY W EGBERT DDS MSD PC NPI 1023040763

NPI Information

GREGORY W EGBERT DDS MSD PC is an oral and maxillofacial surgery dentist in Slc, 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. GREGORY W EGBERT DDS MSD PC NPI is 1023040763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 E 3900 SO
STE 210
SLC, UT
ZIP 84124-367
Phone: (801) 265-1500
Fax: (801) 265-1523

The provider's authorized official is Gregory William Egbert .
The authorized official title is Owner and has the following contact phone number (801) 265-1500.

The enumeration date for this NPI number is 7/6/2006 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:

Other Identifiers

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