Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cache Valley Oral & Facial Surgery, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1033497417

Cache Valley Oral & Facial Surgery, Inc is an Oral and Maxillofacial Surgery (Dentist) in Logan, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1320 N 600 E Ste 3
Logan, UT 84341-2431
Phone: (435) 752-5681
Fax: (435) 752-5744
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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 · Licence 1396909924 (UT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 79545799924 (UT)

Record details

NPI number1033497417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Wilkinson — Owner · (435) 752-5681
NPI enumeratedAugust 2, 2011
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address1320 N 600 E, Suite 3, Logan, UT 84341-2431

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