BLAINE D. AUSTIN DDS INC. NPI 1679089239

NPI Information

  • NPI: 1679089239
  • Provider Name: BLAINE D. AUSTIN DDS INC.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: DR. BLAINE D. AUSTIN DDS
  • Address: 1250 EAST 3900 SOUTH
    SUITE 210
    SALT LAKE CITY, UT
    ZIP 84124
  • Phone: (801) 264-1500

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NPI Details

BLAINE D. AUSTIN DDS INC. is an oral and maxillofacial surgery dentist in Salt Lake 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. BLAINE D. AUSTIN DDS INC. NPI is 1679089239. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Blaine D. Austin Dds.

The provider's business location address is:

1250 EAST 3900 SOUTH
SUITE 210
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 264-1500
Fax: (801) 265-9963

The provider's authorized official is Blaine D Austin .
The authorized official title is Oral Maxillo-facial Surgery and has the following contact phone number (801) 759-4378.

The enumeration date for this NPI number is 12/19/2017 and was last updated on 1/8/2018.

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 Surgery140958UTAHYes

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
1U000005310MEDICAIDUTAH

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: 11/21/2025

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