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INTERMOUNTAIN ORAL & MAXILLOFACIAL SURGERY NPI 1760745251


NPI Information

NPI: 1760745251
Provider Name: INTERMOUNTAIN ORAL & MAXILLOFACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
6287 S REDWOOD RD
#103
TAYLORSVILLE, UT
ZIP 84123
Phone: (801) 261-2444
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INTERMOUNTAIN ORAL & MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Taylorsville, UT. The provider is the specialty of dentistry which includes 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. INTERMOUNTAIN ORAL & MAXILLOFACIAL SURGERY NPI is 1760745251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6287 S REDWOOD RD
#103
TAYLORSVILLE, UT
ZIP 84123-634
Phone: (801) 261-2444

The provider's authorized official is Mark Ryser .
The authorized official title is Oral Surgeon and has the following contact phone number (801) 261-2444.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.


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
11223S0112XDentistOral and Maxillofacial SurgeryLIC-4-12-7785UTAHYes

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: 11/14/2023

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