GREGORY W EGBERT DDS MSD PC
NPI 1023040763
Dentist - Oral and Maxillofacial Surgery in Slc, UT

Active since July 06, 2006
1250 E 3900 SO, STE 210, SLC, UT 84124(801) 265-1500(801) 265-1523 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory W Egbert Dds Msd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY W EGBERT DDS MSD PC (NPI 1023040763) is a healthcare organization registered as an oral and maxillofacial surgery in Slc, Utah and active in the NPI registry since July 2006. The organization lists Gregory William Egbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1023040763
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGREGORY W EGBERT DDS MSD PC
Location Address1250 E 3900 SO, STE 210Slc, UT 84124-1367
Mailing Address1250 E 3900 So, Ste 210Slc, UT 84124-1367 · (801) 265-1500 · Fax (801) 265-1523
Fax(801) 265-1523
Organization SubpartNo
Authorized OfficialGregory William EgbertOwner · (801) 265-1500
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1023040763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in UT · 143512
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1250 E 3900 SO, Slc, UT 84124

Other Identifiers 1

Medicaid528706087022UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory W Egbert Dds Msd PC's NPI number?

The NPI number for Gregory W Egbert Dds Msd PC is 1023040763. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Gregory W Egbert Dds Msd PC located?

Gregory W Egbert Dds Msd PC is located at 1250 E 3900 So Ste 210, Slc, UT 84124. The listed phone number is (801) 265-1500.

What is Gregory W Egbert Dds Msd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Gregory W Egbert Dds Msd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.