Organization Active NPI

Oral & Facial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Clearfield, UT
National Provider Identifier
1730548397
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
280752 Issued in UT
Legal business name
ORAL & FACIAL SURGERY CENTER
Practice address
938 University Park Blvd
Ste 100
Clearfield, UT 84015-6283
Phone
(801) 825-1116
Fax
(801) 825-1310
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Dr. Mark L Newey, DDSNPI 1619074259
Title
Owner
Phone
(801) 825-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 280752 UT Primary

Addresses

Primary practice location

938 University Park Blvd
Ste 100
Clearfield, UT 84015-6283

Mailing address

938 University Park Blvd
Ste 100
Clearfield, UT 84015-6283
Phone (801) 825-1116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1730548397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 UNIVERSITY PARK BLVD",
            "address_2": "STE 100",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156283",
            "telephone_number": "801-825-1116",
            "fax_number": "801-825-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 UNIVERSITY PARK BLVD",
            "address_2": "STE 100",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156283",
            "telephone_number": "801-825-1116",
            "fax_number": "801-825-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "NEWEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-825-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "280752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.