Ut Oms Specialty Dental Services PLLC
A Medicare group practice based in Price, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1850786112), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1850786112
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- UT
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20220323001638 | UT | Part B Supplier - Clinic/Group Practice | 1376206755 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Ut Oms Specialty Dental Services PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Provo, UT
- NPI 1376206755
-
Ut Oms Specialty Dental Services PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Provo, UT
- NPI 1235996174
Practice locations
- American Fork, UT1
- Provo, UT1
- Price, UT1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Gary Lyle Crawford, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Provo, UT
- NPI 1649353715
-
Nathaniel Todd Edmunds, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Cincinnati, OH
- NPI 1275067704
-
William Lecile McBee, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Provo, UT
- NPI 1093898157
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.