Active NPI
West Valley Oral Surgery PC
- Oral and Maxillofacial Surgery (Dentist)
- West Valley, UT
National Provider Identifier
1962152884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- WEST VALLEY ORAL SURGERY PC
- Practice address
- 3715 W 4100 S Ste 150
West Valley, UT 84120-5552 - Phone
- (801) 285-9693
- NPI assigned
- Mar 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dayne Jensen, MD, DMD
- Title
- Owner
- Phone
- (801) 698-7121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
3715 W 4100 S Ste 150
West Valley, UT 84120-5552
Mailing address
1108 E South Union Ave
Midvale, UT 84047-2904
National Provider Directory
National Provider DirectoryLocations
4071 S 4000 W
Ste 2A
West Valley, UT 84120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1962152884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 E SOUTH UNION AVE",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840472904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 W 4100 S STE 150",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841205552",
"telephone_number": "801-285-9693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST VALLEY ORAL SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "DAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-698-7121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Valley, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.