| Davis Center For Oral & Maxillofacial Surgery | |
|
890 Heritage Park Blvd Ste 103 Layton UT 84041-5622 | |
| (801) 614-0999 | |
| Not Available |
| Full Name | Davis Center For Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 890 Heritage Park Blvd Ste 103, Layton, Utah |
| Authorized Official Name and Position | Kerri Jewkes (OFFICE MANAGER) |
| Authorized Official Contact | 8016140999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Center For Oral & Maxillofacial Surgery 890 Heritage Park Blvd Ste 103 Layton UT 84041-5622 Ph: (801) 614-0999 | Davis Center For Oral & Maxillofacial Surgery 890 Heritage Park Blvd Ste 103 Layton UT 84041-5622 Ph: (801) 614-0999 |
| NPI Number | 1407085160 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 07/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407085160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5889917 (Utah) | Primary |
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Davis Center For Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 W Heritage Park Blvd., Suite 103, Layton, UT 84041 Phone: 801-614-0999 Fax: 801-614-0998 | |
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