Wasatch Oral Surgery
LBN: Kyle S Christensen, Dds, Pc
Wasatch Oral Surgery is an health care organization with primary practice located at 1268 W South Jordan Pkwy Suite 200, South Jordan UT 84095-4652. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty.
Kyle S Christensen, Dds, Pc can be contacted via phone (801) 561-8088, or through Christensen, Kyle S via phone (801) 561-8088.
Contact Information
Primary practice address
1268 W South Jordan Pkwy Suite 200
South Jordan UT 84095-4652
Phone: (801) 561-8088
Fax: (801) 562-8286
Website:
Authorized official contact:
Name: Christensen, Kyle S Doctor of Dental Surgery (DDS)
Phone: (801) 561-8088
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1669662425 |
|---|---|
| LBN Legal business name | Kyle S Christensen, Dds, Pc |
| DBA Doing business as | Wasatch Oral Surgery |
| Authorized official | Christensen, Kyle S Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2007 |
| Last updated | Jul 27th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669662425 | NPPES |
| Utah | MEDICAID | 550719194003 |
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