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PLASTICS CLINIC
NPI 1184318826
Plastic Surgery in South Jordan, UT

Active since June 06, 2023
1309 W SOUTH JORDAN PKWY STE 110, SOUTH JORDAN, UT 84095(801) 839-5557(801) 770-4455 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 31, 2023, Oct 27, 2023, Jun 6, 2023 (3 updates tracked since 2023).

About Plastics Clinic NPPES

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

PLASTICS CLINIC (NPI 1184318826) is a healthcare organization registered as a plastic surgery in South Jordan, Utah and active in the NPI registry since June 2023. The organization lists Tim Prusse, Manager, as its authorized official.

NPPES Registry Identity

NPI1184318826
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePLASTICS CLINIC
Location Address1309 W SOUTH JORDAN PKWY STE 110South Jordan, UT 84095-9014
Mailing Address1309 W South Jordan Pkwy Ste 110South Jordan, UT 84095-9014 · (801) 839-5557 · Fax (801) 770-4455
Phone(801) 839-5557
Fax(801) 770-4455
Organization SubpartNo
Authorized OfficialTim PrusseManager · (801) 386-1337
Enumeration DateJune 6, 2023
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1184318826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1309 W SOUTH JORDAN PKWY STE 110, South Jordan, UT 84095
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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.

LUMIN THERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT 84095
Salt Lake County (801) 692-3278
DR. JEREMY ROBERT CHIDESTER M.D.
Plastic Surgery
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT 84095
Salt Lake County (801) 839-5557
BRYAN PYFER
Plastic Surgery
1309 W SOUTH JORDAN PKWY STE 110
SOUTH JORDAN, UT 84095
Salt Lake County (801) 839-5557

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 Plastics Clinic's NPI number?

The NPI number for Plastics Clinic is 1184318826. It was assigned to this organization in the NPPES registry on June 6, 2023.

Where is Plastics Clinic located?

Plastics Clinic is located at 1309 W South Jordan Pkwy Ste 110, South Jordan, UT 84095. The listed phone number is (801) 839-5557.

What is Plastics Clinic's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Plastics Clinic was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.