UTAH SURGICAL ARTS (NPI# 1275722357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275722357 |
| Entity Type | Organization |
| Organization Name | UTAH SURGICAL ARTS |
| Practice Address |
3610 N University Ave Suite 150 Provo UT 84604-4437 |
| Practice Telephone | 8013562226 |
| Practice Fax Number | 8018121734 |
| Mailing Telephone | 8013562226 |
| Mailing Fax Number | 8018121734 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | DR. MICHAEL D HARRIS (ORAL/MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 8013562226 |
| Authorized Official Credential | M.D., D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
39634 | UT | Ambulatory Health Care Facilities |
| Street Address |
3610 N UNIVERSITY AVE SUITE 150 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477693802 | Blake Lynn Matthews | Dentist | 3610 N University Ave, #200, Provo, UT 84604-4437 | 2007-02-07 |
| 1659534485 | Jeffrey L Trapnell | Dentist | 3610 N University Ave, Suite #175, Provo, UT 84604-4437 | 2008-07-02 |
| 1750404786 | David A Park | Dentist | 3610 N University Ave, Suite 150, Provo, UT 84604-4437 | 2007-04-06 |
| 1669595765 | Michael D Harris | Dentist | 3610 N University Ave, Suite 150, Provo, UT 84604-4437 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507153 | Legacy Heights Oral & Facial Surgery Pllc | Clinic/Center | 193 S 200 W Ste B, Farmington, UT 84025-2406 | 2020-10-27 |
| 1598024341 | Logan Oral Surgery | Clinic/Center | 3125 N. Main Street, Ste #103, North Logan, UT 84341-1550 | 2012-05-15 |
| 1962038711 | Stanley Oral & Facial Surgery Pllc | Clinic/Center | 3632 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7163 | 2020-03-12 |
| 1851937270 | Randy Sean Barnhisel Dds, Pllc | Clinic/Center | 4970 S 900 E Ste G, Salt Lake City, UT 84117-3930 | 2019-11-20 |
| 1558744748 | Ryan K Austin, Dds PC | Clinic/Center | 5742 S 1475 E Ste 100, South Ogden, UT 84403-4857 | 2015-07-07 |
| 1821400532 | Southwest Oral and Facial Surgery Inc | Clinic/Center | 11748 S 3600 W, Suite 1, South Jordan, UT 84095-5922 | 2014-05-29 |
| 1376827832 | Dustin J Hopkin Dds, Oral and Maxillofacial Surgery P.C. | Clinic/Center | 2180 E 4500 S Ste 285, Salt Lake City, UT 84117-4028 | 2011-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.