Oral Maxillofacial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL MAXILLOFACIAL SURGERY, PLLC

Practice address

912 N 2000 W
Pleasant Grove, UT 84062-4047

Phone

(801) 756-0766

NPI assigned

Oct 23, 2006

Last updated

May 13, 2010By 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

Janine Gale

Title

Asst. Office Manager

Phone

(801) 375-4707

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Lyle Crawford, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Provo, UT
  • NPI 1649353715
  NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1518040591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N 2000 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624047",
            "telephone_number": "801-756-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "ASST. OFFICE MANAGER",
        "authorized_official_telephone_number": "801-375-4707"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "64166",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam Norton
• Juncal Nunuz
• Daniel Nyman, DC, NMD
• Stacey Ann Olson, CHT
• Optometric Physicians LLC
• Erin Osborn
• Joe Otero
• Britney Marie Palombo, DNP, APRN, PMHNP-BC
• Adam Park
• April Parker

• Oral and Maxillofacial Surgery (Dentist) in Pleasant Grove, UT
• Providers in Pleasant Grove, 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 May 13, 2010; 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.