# FAMILIES FIRST ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073295382
- **Authorized official:** ALISHA SHIGLEY (RMC MANAGER)
- **Authorized official phone:** (801) 450-1250

## Contact information

- **Practice address:** 5459 S. 7800 S., STE 100, WEST JORDAN, UT 84081
- **Practice address phone:** (801) 515-5858
- **Practice address fax:** (801) 515-5859
- **Mailing address:** 1320 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8847
- **Mailing address phone:** (801) 515-5858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2023
- **Last updated:** 09/08/2023