WEST VALLEY ORAL SURGERY PC NPI 1962152884

NPI Information

  • NPI: 1962152884
  • Provider Name: WEST VALLEY ORAL SURGERY PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 4071 S 4000 W STE 2A
    WEST VALLEY, UT
    ZIP 84120
  • Phone: (801) 285-9693

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NPI Details

WEST VALLEY ORAL SURGERY PC is an oral and maxillofacial surgery dentist in West Valley, 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. WEST VALLEY ORAL SURGERY PC NPI is 1962152884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4071 S 4000 W STE 2A
WEST VALLEY, UT
ZIP 84120-143
Phone: (801) 285-9693

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 3/24/2022 and was last updated on 7/7/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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