Summit Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7835316 Issued in UT

Legal business name

SUMMIT ORAL & MAXILLOFACIAL SURGERY

Practice address

1250 E 3900 S
Ste 210
Salt Lake City, UT 84124-1348

Phone

(801) 265-1500

Fax

(801) 265-9963

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Barbara J Durant

Title

Collection Manager

Phone

(801) 265-1500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Cameron Judd Egbert, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Spanish Fork, UT
  • NPI 1033320957
  NPD (past)
• Jason Andrew Tepper

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Spanish Fork, UT
  • NPI 1619436425

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1679955017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241367",
            "telephone_number": "801-265-1500",
            "fax_number": "801-265-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-265-1500",
            "fax_number": "801-265-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COLLECTION MANAGER",
        "authorized_official_telephone_number": "801-265-1500"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "7835316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Mae Summers, MD
• Hope Summers
• Paul R. Summers, MD
• Stephen James Summers, M.D.
• Summit Laser Medical Arts, LLC
• Summit Vitality Partners, PLLC
• Shanna Summy, R.T.
• Benjamin Sumner, PA
• Jayne Ann Sumner, LCSW
• Rachel Sumner, RN

• Oral and Maxillofacial Surgery (Dentist) in Salt Lake City, UT
• Providers in Salt Lake City, 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 Jun 23, 2015; 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.