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BOUNTIFUL ORAL SURGERY P.C. NPI 1861147100


NPI Information

NPI: 1861147100
Provider Name: BOUNTIFUL ORAL SURGERY, P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
625 E 500 S STE 204
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 298-2242
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BOUNTIFUL ORAL SURGERY, P.C. is an oral and maxillofacial surgery dentist in Bountiful, 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. BOUNTIFUL ORAL SURGERY, P.C. NPI is 1861147100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 E 500 S STE 204
BOUNTIFUL, UT
ZIP 84010-883
Phone: (801) 298-2242

The provider's authorized official is Dayne Jensen .
The authorized official title is Owner and has the following contact phone number (801) 698-7121.

The enumeration date for this NPI number is 2/15/2022 and was last updated on 2/15/2022.


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 SurgeryYes

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: 4/28/2024

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