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

Oral Maxillofacial Surgery PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1497838577

Oral Maxillofacial Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in Provo, Utah. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

777 N 500 W Ste 102
Provo, UT 84601-1541
Phone: (801) 375-4707
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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 number1497838577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janine Gale — Asst. Office Manager · (801) 375-4707
NPI enumeratedOctober 23, 2006
Last updated in NPPESApril 7, 2015
Mailing address777 N 500 W, Suite 102, Provo, UT 84601-1541

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