Organization
BOUNTIFUL ORAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS SORENSEN (OWNER)
(801) 380-5016
Entity
Organization
Contact information
Practice address
625 E 500 S STE 204, BOUNTIFUL, UT 84010-3883
(801) 298-2242
(801) 294-9920
Mailing address
625 E 500 S STE 204, BOUNTIFUL, UT 84010-3883
(801) 298-2242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
05/27/2025
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