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UTAH SURGICAL ARTS NPI 1275722357


NPI Information

NPI: 1275722357
Provider Name: UTAH SURGICAL ARTS
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 46D2018270

Address:
3610 N UNIVERSITY AVE
SUITE 150
PROVO, UT
ZIP 84604
Phone: (801) 356-2226
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UTAH SURGICAL ARTS is an oral and maxillofacial surgery clinic center in Provo, UT. The provider is an oral and maxillofacial surgery clinic or center 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. UTAH SURGICAL ARTS NPI is 1275722357. The provider is registered as an organization entity type.

The provider's business location address is:

3610 N UNIVERSITY AVE
SUITE 150
PROVO, UT
ZIP 84604-437
Phone: (801) 356-2226
Fax: (801) 812-1734

The provider's authorized official is Michael D Harris .
The authorized official title is Oral/maxillofacial Surgeon and has the following contact phone number (801) 356-2226.

The CLIA number assigned to this NPI record is 46D2018270 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 10/23/2007.


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
1261QS0112XClinic/CenterOral and Maxillofacial Surgery39634UTAHYes

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: 4/28/2024

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