Legacy Heights Surgery Center PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LEGACY HEIGHTS SURGERY CENTER PC

Practice address

1379 N 1075 W Ste 100B
Farmington, UT 84025-2711

Phone

(801) 335-6086

Fax

(801) 335-6087

NPI assigned

Feb 21, 2023

Organization subpart

No

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

Authorized official

Name

Dayne Jensen, MD

Title

Owner/Surgeon

Phone

(801) 335-6086

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1992403661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 N 1075 W STE 100B",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252711",
            "telephone_number": "801-335-6086",
            "fax_number": "801-335-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 N 1075 W STE 100B",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252711",
            "telephone_number": "801-335-6086",
            "fax_number": "801-335-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEIGHTS SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAYNE",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "801-335-6086",
        "authorized_official_credential": "MD"
    },
    "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": []
}

• Latter Day Counseling Services, LLC
• Evan R Law, PA-C
• Benjamin David Leaver, DMD
• Steven Brent Lee, M.D.
• Legacy Heights Oral & Facial Surgery PLLC
• Travis M Lehman, LMT
• Stephanie Lynn Lemmon, PA-C
• Acey Lesley, RBT
• Ruth Alyn Lewis, RN
• Life Matters Counseling and Psychological Services LLC

• Oral and Maxillofacial Surgery (Dentist) in Farmington, UT
• Providers in Farmington, 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 Feb 21, 2023; 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.