Oral & Maxillofacial Imaging Center, Inc.

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

39396 Issued in UT

Legal business name

ORAL & MAXILLOFACIAL IMAGING CENTER, INC.

Practice address

7001 S 900 E
Suite 310
Midvale, UT 84047-1718

Phone

(801) 255-8899

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duane R. Perry, D.R.T.

Title

President

Phone

(801) 942-5003

Specialties & licenses 1

Addresses

Other names 1

• OMIC Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013069848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 S 900 E",
            "address_2": "SUITE 310",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471718",
            "telephone_number": "801-255-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 S 900 E",
            "address_2": "SUITE 310",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471718",
            "telephone_number": "801-255-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL IMAGING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-942-5003",
        "authorized_official_credential": "D.R.T."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "UT",
            "license": "39396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Ollerton
• Jeffery L. Olson, PHARMD, BCPS
• Zoe Abigail Onion, MD
• Onsite Care at Overstock
• Optometryprnpc
• Matthew Ortman, PHARMD
• Jennifer D Osorio
• Katherine Ovrom
• Christian Ownsbey, MAC
• Ashla Pace

• Dental Laboratory in Midvale, UT
• Providers in Midvale, UT by specialty
• Dental Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.