| Legacy Heights Surgery Center Pc | |
|
1379 N 1075 W Ste 100b Farmington UT 84025-2711 | |
| (801) 335-6086 | |
| (801) 335-6087 |
| Full Name | Legacy Heights Surgery Center Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1379 N 1075 W Ste 100b, Farmington, Utah |
| Authorized Official Name and Position | Dayne Jensen (OWNER/SURGEON) |
| Authorized Official Contact | 8013356086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Heights Surgery Center Pc 1379 N 1075 W Ste 100b Farmington UT 84025-2711 Ph: (801) 335-6086 | Legacy Heights Surgery Center Pc 1379 N 1075 W Ste 100b Farmington UT 84025-2711 Ph: (801) 335-6086 |
| NPI Number | 1992403661 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992403661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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