Oral Surgery Specialty
Oral Surgery Specialty is an Oral & Maxillofacial Surgery (D.M.D.) in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2011.
- Licensed in
- UT
- In the registry since
- 2011
Practice location Address checks out
3648 W 9800 SSouth Jordan, UT 84095-3260
Phone: (801) 397-2727
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 135181 (UT) |
|---|
Record details
| NPI number | 1790089886 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | L. Israelsen — Owner · (801) 397-2727 |
| NPI enumerated | January 4, 2011 |
| Last updated in NPPES | November 22, 2011 |
| Mailing address | Po Box 367, Draper, UT 84020-0367 |