PLASTICS CLINIC LLC – Plastic Surgery Physician, NPI 1184318826

PLASTICS CLINIC LLC is a healthcare provider. based in South jordan, Utah. specializing in Plastic Surgery Physician. The NPI Number for PLASTICS CLINIC LLC is 1184318826

Main info

Organization
Name
PLASTICS CLINIC LLC
NPI
1184318826
Phone
(801) 839-5557
Address
1309 W SOUTH JORDAN PKWY STE 110
Authorized Official
TIM PRUSSE MANAGER
Enumeration Date
6 June 2023
Last Update Date
31 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for PLASTICS CLINIC LLC

  • 1309 W SOUTH JORDAN PKWY STE 110

    SOUTH JORDAN, UT 840959014

    Phone: (801) 839-5557

    Fax: (801) 770-4455

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84095)

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Reviews

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Frequently asked questions

Can I cross-check PLASTICS CLINIC LLC using NPI 1184318826?
NPI 1184318826 belongs to PLASTICS CLINIC LLC; compare other details if you need extra assurance.
Is PLASTICS CLINIC LLC still an active registrant?
PLASTICS CLINIC LLC carries an active NPI according to the public dataset.
What area of care is associated with PLASTICS CLINIC LLC?
PLASTICS CLINIC LLC's record emphasizes Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PLASTICS CLINIC LLC?
Directory geography for PLASTICS CLINIC LLC centers on South Jordan, Utah.
When was this NPI issued?
Enumeration for PLASTICS CLINIC LLC is noted as June 6, 2023 where the registry provides it.

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