# UTAH ORAL SURGERY & DENTAL IMPLANT CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1275899809
- **Authorized official:** CARMA NAY (MANAGER)
- **Authorized official phone:** (801) 269-1110

## Contact information

- **Practice address:** 6243 S REDWOOD RD STE 100, SALT LAKE CITY, UT 84123-6408
- **Practice address phone:** (801) 269-1110
- **Mailing address:** 6243 S REDWOOD RD STE 100, SALT LAKE CITY, UT 84123-6408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 6216924-9924 | UT | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 04/09/2012