Active NPI
Utah Oral Surgery & Dental Implant Center
- Oral & Maxillofacial Surgery (D.M.D.)
- Salt Lake City, UT
National Provider Identifier
1275899809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 6216924-9924
- Legal business name
- UTAH ORAL SURGERY & DENTAL IMPLANT CENTER
- Practice address
- 6243 S Redwood Rd Ste 100
Salt Lake City, UT 84123-6408 - Phone
- (801) 269-1110
- NPI assigned
- Apr 9, 2012
- 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
- Carma Nay
- Title
- Manager
- Phone
- (801) 269-1110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 6216924-9924 | UT | Primary |
Addresses
Primary practice location
6243 S Redwood Rd Ste 100
Salt Lake City, UT 84123-6408
Mailing address
6243 S Redwood Rd Ste 100
Salt Lake City, UT 84123-6408
National Provider Directory
National Provider DirectoryLocations
6243 S Redwood Rd
Ste 100
Salt Lake Cty, UT 84123
Phone (801) 269-1110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Salt Lake City, UT
- NPI 1225171135
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Salt Lake City, UT
- NPI 1376607721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333929600000",
"number": "1275899809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6243 S REDWOOD RD STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841236408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6243 S REDWOOD RD STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841236408",
"telephone_number": "801-269-1110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UTAH ORAL SURGERY & DENTAL IMPLANT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A",
"authorized_official_last_name": "NAY",
"authorized_official_first_name": "CARMA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-269-1110"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "UT",
"license": "6216924-9924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- Utah Luna Care Physical Therapy LLC
- Utah Medical Specialists PC
- Utah Neuropsychiatric Institute
- Utah Neurorehabilitation, Inc
- Utah Oculoplastic Consultants, P.C.
- Utah Orthodontic Care,P.C.
- Utah Orthopedic, Spine & Injury Center
- Utah Patient Advocates, Inc
- Utah Physicians Care Centers PC
- Utah Podiatric Physicians and Surgeons Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.