| Summit Oral & Maxillofacial Surgery | |
|
1250 E 3900 S Ste 210 Salt Lake City UT 84124-1348 | |
| (801) 265-1500 | |
| (801) 265-9963 |
| Full Name | Summit Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1250 E 3900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Barbara J Durant (COLLECTION MANAGER) |
| Authorized Official Contact | 8012651500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Oral & Maxillofacial Surgery 1250 E 3900 S Ste 210 Salt Lake City UT 84124-1367 Ph: (801) 265-1500 | Summit Oral & Maxillofacial Surgery 1250 E 3900 S Ste 210 Salt Lake City UT 84124-1348 Ph: (801) 265-1500 |
| NPI Number | 1679955017 |
|---|---|
| Provider Enumeration Date | 06/22/2015 |
| Last Update Date | 06/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679955017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7835316 (Utah) | Primary |
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