| Oral Maxillofacial Surgery, Pllc | |
|
912 N 2000 W Pleasant Grove UT 84062-4047 | |
| (801) 756-0766 | |
| Not Available |
| Full Name | Oral Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 912 N 2000 W, Pleasant Grove, Utah |
| Authorized Official Name and Position | Janine Gale (ASST. OFFICE MANAGER) |
| Authorized Official Contact | 8013754707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial Surgery, Pllc 777 N 500 W Suite 102 Provo UT 84601-1541 Ph: (801) 375-4707 | Oral Maxillofacial Surgery, Pllc 912 N 2000 W Pleasant Grove UT 84062-4047 Ph: (801) 756-0766 |
| NPI Number | 1518040591 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518040591 | NPI | - | NPPES |
| 64166 | Other | UT | PEHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Piinnacle Dental Parrtners Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 W State Rd Ste 201, Pleasant Grove, UT 84062 Phone: 385-216-4421 | |
Steven F. Mciff Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 West 100 South, Suite C, Pleasant Grove, UT 84062 Phone: 801-785-2063 Fax: 801-785-0084 | |
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