# SOUTHERN UTAH SURGICAL ARTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral & Facial Surgery Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962918094
- **Authorized official:** DR. SHAWN B DAVIS DMD (OWNER)
- **Authorized official phone:** (435) 628-1100

## Contact information

- **Practice address:** 393 E RIVERSIDE DR, STE 2B, ST. GEORGE, UT 84790
- **Practice address phone:** (435) 628-1100
- **Practice address fax:** (435) 673-0330
- **Mailing address:** 393 E RIVERSIDE DR, STE 2B, ST GEORGE, UT 84790
- **Mailing address phone:** (435) 628-1100
- **Mailing address fax:** (435) 673-0330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 6524667 | UT | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D07932 | AZ | — |

## Other

- **Enumeration date:** 12/27/2017
- **Last updated:** 12/27/2017