Gregory William Egbert, DDS, MSD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

143512 Issued in UT

Practice address

1250 E 3900 S
Ste 210
Salt Lake City, UT 84124-1367

Phone

(801) 265-1500

Fax

(801) 265-9963

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory W Egbert DDS MSD PC

  • Oral and Maxillofacial Surgery (Dentist)
  • SLC, UT
  • NPI 1023040763
  Authorized official Same address or phone

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700809969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 SO",
            "address_2": "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": "841241367",
            "telephone_number": "801-265-1500",
            "fax_number": "801-265-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "UT",
            "license": "143512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Welch Egan, DNP, APRN, NNP-BC
• Keith Egan, DDS
• Talmage Egan, MD
• Kadie Dawn Egbert-Brown, PA-C
• Allison Egbert
• Lindsay Egbert
• Pam Egelund, CTRS, TRS
• Magdalynn Egg
• Jennifer L Eggebroten, MD
• Helen Eggen, FNP

• Oral & Maxillofacial Surgery (D.M.D.) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.