Organization Active NPI

West Valley Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • West Valley, UT
National Provider Identifier
1962152884
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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

Updated by the provider on Jun 5, 2025

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.