Maurice G Jenkins PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MAURICE G JENKINS PLLC

Doing business as

Riverwood Oral & Maxillofacial Surgery

Practice address

280 River Park Dr Ste 360
Provo, UT 84604-5835

Phone

(801) 437-7701

Fax

(801) 356-6326

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Gustaf Jenkins, D.D.S., M.D.NPI 1285831990

Title

Owner

Phone

(801) 437-7701

Specialties & licenses 1

Addresses

Other names 1

• Riverwood Oral & Maxillofacial Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice Gustaf Jenkins, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Provo, UT
  • NPI 1285831990
  NPD Authorized official
• Chad Sanders Sloan, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Provo, UT
  • NPI 1528554466

  Oral and Maxillofacial Surgery

  NPD

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1114781689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR STE 360",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045835",
            "telephone_number": "801-437-7701",
            "fax_number": "801-356-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR STE 360",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045835",
            "telephone_number": "801-437-7701",
            "fax_number": "801-356-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE G JENKINS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "GUSTAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-437-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwood Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennell Nicole Maunder, B.S.
• Keegan Todd Maurer
• Mark J Mauzy, MS
• Max Ah Quin, LLC
• Margaret Michele Maxfield, CCC-SLP
• Sarah Lynn Maxfield
• Bryan John May, MD

• Oral and Maxillofacial Surgery (Dentist) in Provo, UT
• Providers in Provo, UT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.