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UTAH & ORAL & FACIAL SURGEONS
NPI 1063880896
Dentist - Oral and Maxillofacial Surgery in Salt Lake City, UT

Active since September 10, 2015
6268 S 900 E, 100, SALT LAKE CITY, UT 84121(801) 566-5117(801) 566-5119 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Utah & Oral & Facial Surgeons NPPES

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

UTAH & ORAL & FACIAL SURGEONS (NPI 1063880896) is a healthcare organization registered as an oral and maxillofacial surgery in Salt Lake City, Utah and active in the NPI registry since September 2015. The organization lists Alvin John Stosich, Owner, as its authorized official.

NPPES Registry Identity

NPI1063880896
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameUTAH & ORAL & FACIAL SURGEONS
Location Address6268 S 900 E, 100Salt Lake City, UT 84121-2497
Mailing Address6268 S 900 E, 100Salt Lake City, UT 84121-2497 · (801) 566-5117 · Fax (801) 566-5119
Phone(801) 566-5117
Fax(801) 566-5119
Organization SubpartNo
Authorized OfficialAlvin John StosichOwner · (801) 566-5117
Enumeration DateSeptember 10, 2015
✔ NPI 1063880896 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 · 64341369924
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.

6268 S 900 E, Salt Lake City, UT 84121
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Other Identifiers 2

Medicaid127067200WY
Medicaid519239432001UT

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE KRISTIN MAAK DMD
Dentist (Oral and Maxillofacial Surgery)
6268 S 900 E, STE 100
SALT LAKE CITY, UT 84121
Salt Lake County (801) 566-5117
ASPIRE SURGICAL
Dentist (Oral and Maxillofacial Surgery)
6268 S 900 E, SUITE 100
SALT LAKE CITY, UT 84121
Salt Lake County (801) 566-5117
DR. ALVIN J STOSICH MD, DDS
Oral & Maxillofacial Surgery
6268 S 900 E, STE 100
SALT LAKE CITY, UT 84121
Salt Lake County (801) 566-5117

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 Utah & Oral & Facial Surgeons's NPI number?

The NPI number for Utah & Oral & Facial Surgeons is 1063880896. It was assigned to this organization in the NPPES registry on September 10, 2015.

Where is Utah & Oral & Facial Surgeons located?

Utah & Oral & Facial Surgeons is located at 6268 S 900 E 100, Salt Lake City, UT 84121. The listed phone number is (801) 566-5117.

What is Utah & Oral & Facial Surgeons'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 Utah & Oral & Facial Surgeons was last updated on September 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.