Springville Oral Surgery PC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

SPRINGVILLE ORAL SURGERY PC

Practice address

269 E 400 S
Springville, UT 84663-1900

Phone

(801) 704-5432

Fax

(801) 704-5431

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Whitney N Pavick

Title

Sr. Operations Manager

Phone

(801) 857-7947

Specialties & licenses 1

Addresses

Tax ID family

Springville Oral Surgery PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Springville Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Springville, UT
  • NPI 1821718669
  NPD tax ID

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1477270403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631900",
            "telephone_number": "801-704-5432",
            "fax_number": "801-704-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631900",
            "telephone_number": "801-704-5432",
            "fax_number": "801-704-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGVILLE ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "PAVICK",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SR. OPERATIONS MANAGER",
        "authorized_official_telephone_number": "801-857-7947"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Canyon Therapy (Backcountry Balance)
• Springville City Corporation
• Springville Dentistry
• Springville Dermatology & Diagnostics PC
• Springville Family Counseling Services (Brookside Family Counseling)
• Springville Oral Surgery PC
• Ralph Gordon Stapel Jr., CH
• Diane Starks, LCSW
• Angela Stephenson
• Amy Sterling

• Oral and Maxillofacial Pathology Dentistry in Springville, UT
• Providers in Springville, UT by specialty
• Oral and Maxillofacial Pathology Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.