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

Summit Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1679955017

Summit Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015

Practice location Address checks out

1250 E 3900 S Ste 210
Salt Lake City, UT 84124-1348
Phone: (801) 265-1500
Fax: (801) 265-9963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7835316 (UT)

Record details

NPI number1679955017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Durant — Collection Manager · (801) 265-1500
NPI enumeratedJune 22, 2015
Last updated in NPPESJune 23, 2015
Mailing address1250 E 3900 S Ste 210, Salt Lake City, UT 84124-1367

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