VINEYARD ORAL AND MAXILLOFACIAL SURGERY (NPI# 1891394631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891394631 |
| Entity Type | Organization |
| Organization Name | VINEYARD ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
707 E Mill Rd Ste 102 Vineyard UT 84059-5732 |
| Mailing Address |
3300 N Running Creek Way Ste H210 Lehi UT 84043-5871 |
| Practice Telephone | 8017664834 |
| Practice Fax Number | 8017662315 |
| Mailing Telephone | 8017664834 |
| Mailing Fax Number | 8017662315 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | SHANNON SHIELDS (OFFICE MANAGER) |
| Authorized Official Telephone | 8017664834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Vineyard Oral and Maxillofacial Surgery | Former Legal Business Name - Organization |
| Street Address |
707 E MILL RD STE 102 |
| City | VINEYARD |
| State | UT |
| Zip Code | 84059-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1649879347 | Trevor Gatenby | Assistant, Podiatric | 247 E Zinfandel Ln, Vineyard, UT 84059-2630 | 2020-10-22 |
| 1356812820 | Priority Emergency Response Systems | Emergency Response System Companies | 1771 W 850 S, Orem, UT 84059-4925 | 2018-12-10 |
| 1740839844 | Miryam Millie Harper | Registered Nurse | 552 E Rue De Matth, Vineyard, UT 84059-5124 | 2019-09-11 |
| 1154978724 | Rebecca Davis | Dietitian, Registered | 83 N English Rd, Vineyard, UT 84059-5645 | 2019-08-19 |
| 1598386856 | David Wilson | Pharmacist | 192 S Dry Creek Ln, Vineyard, UT 84059-5680 | 2020-04-28 |
| 1952959298 | Klarysa Thompson | Nurse Practitioner | 29 E Silver Oak Rd, Vineyard, UT 84059-5683 | 2019-08-29 |
| 1972128973 | Xavier A Pierce | Student in an Organized Health Care Education/Training Program | 35 S Sterling Way, Vineyard, UT 84059-5685 | 2020-06-15 |
| 1407313794 | Camilla Tess Israelsen | Behavior Technician | 643 E 380 N, Vineyard, UT 84059-5728 | 2019-02-22 |
| 1326690017 | Vineyard Heights Dental LLC | Dentist | 707 E Mill Rd Ste 302, Vineyard, UT 84059-5729 | 2019-07-12 |
| Find all providers in zip 84059 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1306489059 | Alpine Dentists and Specialists Pllc | Dentist | 20 W Main Street Ct Ste 100, Alpine, UT 84004-1889 | 2019-10-25 |
| 1194213074 | Lehi Oral Surgery PC | Dentist | 2961 W Maple Loop Dr Ste 130, Lehi, UT 84043-5717 | 2018-04-26 |
| 1568974434 | Utah Wisdom Teeth, LLC | Dentist | 1030 E 11400 S Ste 2a, Sandy, UT 84094-6906 | 2017-10-31 |
| 1447623830 | Great Smiles Dental Clinic LLC | Dentist | 7410 S Creek Rd, #303, Sandy, UT 84093-6140 | 2015-11-06 |
| 1679943831 | Creekside Oral & Facial Surgery Inc | Dentist | 7390 S Creek Rd, Suite 101, Sandy, UT 84093-6119 | 2015-09-30 |
| 1346629441 | Eric Wood | Dentist | 3610 N University Ave Ste 150, Provo, UT 84604-4444 | 2015-05-21 |
| 1023336104 | Adam C Stanley | Dentist | 3632 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7163 | 2010-05-13 |
| 1790012243 | Southern Utah Surgical Arts | Dentist | 393 E Riverside Dr Bldg 2, Suite 2b, St George, UT 84790-7065 | 2009-11-04 |
| 1487887204 | Joseph Fullmer | Dentist | 493 S Main St # 200, Heber City, UT 84032-2240 | 2009-08-27 |
| 1407085160 | Davis Center for Oral & Maxillofacial Surgery | Dentist | 890 Heritage Park Blvd Ste 103, Layton, UT 84041-5622 | 2009-07-02 |
| Find all providers with the same taxonomy | ||||
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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.