Bountiful Oral Surgery, PC
Bountiful Oral Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Bountiful, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
625 E 500 S Ste 204Bountiful, UT 84010-3883
Phone: (801) 298-2242
Fax: (801) 294-9920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|
Record details
| NPI number | 1861147100 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Travis Sorensen — Owner · (801) 380-5016 |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
| Mailing address | 625 E 500 S Ste 204, Bountiful, UT 84010-3883 |
Other providers in Bountiful
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Dr. Todd C. Liston, DDS, MS
469 Medical Dr Ste 202, Bountiful, UT 84010-8921 · (801) 299-8531
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Travis M. Sorensen, DDS
625 E 500 S Ste 204, Bountiful, UT 84010-3883 · (801) 298-2242
-
Todd C. Liston DDS, MS, PC
469 Medical Dr Ste 202, Bountiful, UT 84010-4900 · (801) 299-8531