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SOUTHWEST ORAL AND FACIAL SURGERY INC NPI 1821400532


NPI Information

NPI: 1821400532
Provider Name: SOUTHWEST ORAL AND FACIAL SURGERY INC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
11748 S 3600 W
SUITE 1
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 938-3412
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SOUTHWEST ORAL AND FACIAL SURGERY INC is an oral and maxillofacial surgery clinic center in South Jordan, 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. SOUTHWEST ORAL AND FACIAL SURGERY INC NPI is 1821400532. The provider is registered as an organization entity type.

The provider's business location address is:

11748 S 3600 W
SUITE 1
SOUTH JORDAN, UT
ZIP 84095-922
Phone: (801) 938-3412
Fax: (801) 938-3413

The provider's authorized official is Jared Mathew Brown .
The authorized official title is Owner/surgeon and has the following contact phone number (801) 938-3412.

The enumeration date for this NPI number is 5/29/2014 and was last updated on 5/29/2014.


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 Surgery355097-9924UTAHYes

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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