Active NPI
Lehi Oral Surgery PC
- Oral and Maxillofacial Surgery (Dentist)
- Lehi, UT
National Provider Identifier
1194213074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10226558-9924
- Legal business name
- LEHI ORAL SURGERY PC
- Doing business as
- Lehi Oral & Facial Surgery
- Practice address
- 2961 W Maple Loop Dr Ste 130
Lehi, UT 84043-5717 - Phone
- (580) 695-6280
- NPI assigned
- Apr 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Grigg, BSN, RN
- Title
- Regional Leader
- Phone
- (580) 695-6280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10226558-9924 | UT | Primary |
Addresses
Primary practice location
2961 W Maple Loop Dr Ste 130
Lehi, UT 84043-5717
Mailing address
2961 W Maple Loop Dr Ste 130
Lehi, UT 84043-5717
Other names 1
- Lehi Oral & Facial Surgery
National Provider Directory
National Provider DirectoryLocations
2961 W Maple Loop Dr
Ste 130
Lehi, UT 84048
Phone (580) 695-6280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524700800000",
"number": "1194213074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 W MAPLE LOOP DR STE 130",
"city": "LEHI",
"state": "UT",
"postal_code": "840435717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 W MAPLE LOOP DR STE 130",
"city": "LEHI",
"state": "UT",
"postal_code": "840435717",
"telephone_number": "580-695-6280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHI ORAL SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-26",
"last_updated": "2018-04-26",
"status": "A",
"authorized_official_last_name": "GRIGG",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "REGIONAL LEADER",
"authorized_official_telephone_number": "580-695-6280",
"authorized_official_credential": "BSN, RN"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "UT",
"license": "10226558-9924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lehi Oral & Facial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.