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

UT Oms Specialty Dental Services PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1407613342

UT Oms Specialty Dental Services PLLC is an Oral and Maxillofacial Surgery (Dentist) in Salt Lake City, Utah. Registered with an NPI since 2024.

In the registry since
2024
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

4046 S Highland Dr Ste 112
Salt Lake City, UT 84124-1687
Phone: (801) 273-5600
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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 number1407613342
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUT Oms Specialty Dental Services PLLC
Authorized official Charlotte Vial — Director Of Cred And Pr · (504) 638-0303
Other names Utah Orthofacial Surgery
NPI enumeratedMarch 5, 2024
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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