# MILLARD COUNTY ORAL & FACIAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1770407686
- **Authorized official:** WHITNEY PAVICK (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (435) 554-1400

## Contact information

- **Practice address:** 86 WHITE SAGE AVE, DELTA, UT 84624-5555
- **Practice address phone:** (435) 554-1400
- **Mailing address:** 86 WHITE SAGE AVE, DELTA, UT 84624-5555
- **Mailing address phone:** (435) 554-1400

## 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:** 08/05/2026
- **Last updated:** 08/05/2026