Oral Surgery Specialty
LBN: Oral Surgery Specialty
Oral Surgery Specialty is an health care organization with primary practice located at 3648 W 9800 S , South Jordan UT 84095-3260. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty.
Oral Surgery Specialty can be contacted via phone (801) 397-2727, or through Israelsen, L. Douglas via phone (801) 397-2727.
Contact Information
Primary practice address
3648 W 9800 S
South Jordan UT 84095-3260
Phone: (801) 397-2727
Fax:
Website:
Authorized official contact:
Name: Israelsen, L. Douglas Doctor of Dental Surgery (DDS)
Phone: (801) 397-2727
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 135181 | Utah |
Profile Details
NPI number | 1790089886 |
---|---|
LBN Legal business name | Oral Surgery Specialty |
DBA Doing business as | |
Authorized official | Israelsen, L. Douglas Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 4th, 2011 |
Last updated | Nov 22nd, 2011 - about 13 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.
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