Southern Utah Surgical Arts

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6524467 Issued in UT

Legal business name

SOUTHERN UTAH SURGICAL ARTS

Practice address

393 E Riverside Dr BLDG 2
Suite 2B
St George, UT 84790-7065

Phone

(435) 628-1100

Fax

(435) 673-0330

NPI assigned

Nov 4, 2009

Last updated

Nov 4, 2009By 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

Mrs. Kathy S Dresher

Title

VP of Billing

Phone

(405) 848-7974

Specialties & licenses 1

Addresses

Tax ID family

Oral Facial Surgery Institute2 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.

• Southern Utah Surgical Arts

  dba Oral & Facial Surgery Institute

  • Oral & Maxillofacial Surgery (D.M.D.)
  • St George, UT
  • NPI 1962918094
  NPD tax ID

Locations

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.

• Shawn B Davis, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Oklahoma City, OK
  • NPI 1518000421
  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1790012243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N MAY AVE",
            "address_2": "SUITE 250",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123973",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E RIVERSIDE DR BLDG 2",
            "address_2": "SUITE 2B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907065",
            "telephone_number": "435-628-1100",
            "fax_number": "435-673-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH SURGICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "DRESHER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP OF BILLING",
        "authorized_official_telephone_number": "405-848-7974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "6524467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Utah Neuropsychiatry
• Southern Utah Physical Therapy, LLC
• Southern Utah Primary and Urgent Care
• Southern Utah Primary and Urgent Care
• Southern Utah Surgical and Laser Aesthetics LLC (Riverside Medical Arts)
• Southern Utah Surgical Arts (Oral & Facial Surgery Institute)
• Southwest Behavioral Health Center
• Southwest Behavioral Health Center
• Southwest Center (Southwest Behavioral Health Center)
• Southwest Center

• Oral and Maxillofacial Surgery (Dentist) in St George, UT
• Providers in St George, 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 Nov 4, 2009; 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.