Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1225231962
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
870, 9400 South, Peach Blossom Estates, Union Square, Sandy, Salt Lake County, Utah, 84094, United States
SUITE 106
SANDY, UT 840943684
Phone: (801) 571-7232
Fax: (801) 571-7262
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)
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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 84094)
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