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WADE PEERS DDS PC NPI 1639401532


NPI Information

NPI: 1639401532
Provider Name: WADE PEERS DDS PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2750 RASMUSSEN RD STE 106
PARK CITY, UT
ZIP 84098
Phone: (435) 615-9840
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WADE PEERS DDS PC is an oral and maxillofacial surgery dentist in Park City, 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. WADE PEERS DDS PC NPI is 1639401532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2750 RASMUSSEN RD STE 106
PARK CITY, UT
ZIP 84098-401
Phone: (435) 615-9840
Fax: (435) 615-9842

The provider's authorized official is Wade A Peers .
The authorized official title is Owner and has the following contact phone number (435) 615-9840.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 3/16/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery98362987UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000063649OTHERUTAHMEDICARE PTAN

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: 5/5/2024

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