# ORAL & MAXILLOFACIAL SURGEONS OF UTAH

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

## Provider details

- **NPI number:** 1245601012
- **Authorized official:** TODD LISTON D.D.S, M.S. (PARTNER)
- **Authorized official phone:** (801) 779-0506

## Contact information

- **Practice address:** 2297 N HILL FIELD RD, SUITE 105, LAYTON, UT 84041-6920
- **Practice address phone:** (801) 779-0506
- **Mailing address:** 2297 N. HILL FIELD ROAD, SUITE 105, LAYTON, UT 84041
- **Mailing address phone:** (801) 779-0506

## 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:** 10/19/2015
- **Last updated:** 10/19/2015