Organization
SOUTHERN UTAH SURGICAL ARTS
Active
Other names
Oral & Facial Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN B DAVIS DMD (OWNER)
(435) 628-1100
Entity
Organization
Contact information
Practice address
393 E RIVERSIDE DR, STE 2B, ST. GEORGE, UT 84790
(435) 628-1100
(435) 673-0330
Mailing address
393 E RIVERSIDE DR, STE 2B, ST GEORGE, UT 84790
(435) 628-1100
(435) 673-0330
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6524667
UT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D07932
AZ
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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