Individual provider Active NPI

William Lecile McBee, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Provo, UT
National Provider Identifier
1093898157
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
604114-9924 Issued in UT
Practice address
777 N 500 W
Suite 102
Provo, UT 84601-1541
Phone
(801) 375-4707
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 604114-9924 UT Primary

Addresses

Primary practice location

777 N 500 W
Suite 102
Provo, UT 84601-1541

Mailing address

1161 N 950 E
Pleasant Grove, UT 84062-9104
Phone (801) 796-7732

Other identifiers 1

IdentifierTypeStateIssuer
209018OtherIHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000185 UT Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3678761863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1022 E 220
American Fork, UT 84003-5504
Phone (801) 756-0766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
604114-9924UTMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Oms Specialty Dental Services PLLC Oral and Maxillofacial Surgery CurrentSince Mar 1, 2022 Accepting new patients
Ut Oms Specialty Dental Services PLLC Oral and Maxillofacial Surgery CurrentSince Mar 1, 2022 Accepting new patients
Ut Oms Specialty Dental Services PLLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1022 E 220 S
American Fork, UT 84003
Phone (801) 756-0766

391 N 400 E
Price, UT 84501
Phone (435) 637-2222

777 N 500 W
Ste 102
Provo, UT 84601
Phone (701) 375-4707

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093898157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N 950 E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629104",
            "telephone_number": "801-796-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 500 W",
            "address_2": "SUITE 102",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011541",
            "telephone_number": "801-375-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBEE",
        "first_name": "WILLIAM",
        "middle_name": "LECILE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "604114-9924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "209018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.