# UTAH PLASTIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Utah Facial Plastics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487198321
- **Authorized official:** DR. SCOTT KENT THOMPSON M.D. (SOLE OWNER)
- **Authorized official phone:** (801) 776-2220

## Contact information

- **Practice address:** 2255 N 1700 W, \#205, LAYTON, UT 84041-1119
- **Practice address phone:** (801) 776-2220
- **Practice address fax:** (801) 776-2534
- **Mailing address:** 2255 N 1700 W, \#205, LAYTON, UT 84041-1119
- **Mailing address phone:** (801) 776-2220
- **Mailing address fax:** (801) 776-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 6103240-1205 | UT | Yes |

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 12/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529599912001 | — | UT |