# TODD C. LISTON DDS, MS, PC

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

## Provider details

- **NPI number:** 1205098324
- **Authorized official:** DR. TODD C. LISTON D.D.S., M.S. (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (801) 779-0506

## Contact information

- **Practice address:** 469 MEDICAL DR, SUITE 202, BOUNTIFUL, UT 84010-4900
- **Practice address phone:** (801) 299-8531
- **Practice address fax:** (801) 299-9667
- **Mailing address:** 2297 N HILL FIELD RD, BUILDING A, SUITE 105, LAYTON, UT 84041-6920
- **Mailing address phone:** (801) 779-0506
- **Mailing address fax:** (801) 779-4344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 260605 | UT | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 08/14/2008