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VINEYARD ORAL AND MAXILLOFACIAL SURGERY NPI 1891394631


NPI Information

NPI: 1891394631
Provider Name: VINEYARD ORAL AND MAXILLOFACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
707 E MILL RD STE 102
VINEYARD, UT
ZIP 84059
Phone: (801) 766-4834
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VINEYARD ORAL AND MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Vineyard, 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. VINEYARD ORAL AND MAXILLOFACIAL SURGERY NPI is 1891394631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

707 E MILL RD STE 102
VINEYARD, UT
ZIP 84059-732
Phone: (801) 766-4834
Fax: (801) 766-2315

The provider's authorized official is Shannon Shields .
The authorized official title is Office Manager and has the following contact phone number (801) 766-4834.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.


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: 11/14/2023

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