BLAINE D. AUSTIN DDS INC. NPI 1679089239

NPI Information

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

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Other Identifiers

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