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UT OMS SPECIALTY DENTAL SERVICES PLLC
NPI 1407613342
Dentist - Oral and Maxillofacial Surgery in Salt Lake City, UT

Active since March 05, 2024
4046 S HIGHLAND DR STE 112, SALT LAKE CITY, UT 84124(801) 273-5600 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ut Oms Specialty Dental Services Pllc NPPES

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

UT OMS SPECIALTY DENTAL SERVICES PLLC (NPI 1407613342), doing business as Utah Orthofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Salt Lake City, Utah and active in the NPI registry since March 2024. The organization lists Charlotte E Vial, Director Of Cred And Pr, as its authorized official.

NPPES Registry Identity

NPI1407613342
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameUT OMS SPECIALTY DENTAL SERVICES PLLC
Location Address4046 S HIGHLAND DR STE 112Salt Lake City, UT 84124-1687
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759
Phone(801) 273-5600
Organization SubpartYes
Authorized OfficialCharlotte E VialDirector Of Cred And Pr · (504) 638-0303
Enumeration DateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1407613342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
4046 S HIGHLAND DR STE 112, Salt Lake City, UT 84124
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Other Names 1

Doing Business AsUtah Orthofacial Surgery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

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 Ut Oms Specialty Dental Services PLLC's NPI number?

The NPI number for Ut Oms Specialty Dental Services PLLC is 1407613342. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as Utah Orthofacial Surgery.

Where is Ut Oms Specialty Dental Services PLLC located?

Ut Oms Specialty Dental Services PLLC is located at 4046 S Highland Dr Ste 112, Salt Lake City, UT 84124. The listed phone number is (801) 273-5600.

What is Ut Oms Specialty Dental Services PLLC's specialty?

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

What insurance does Ut Oms Specialty Dental Services PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Ut Oms Specialty Dental Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ut Oms Specialty Dental Services PLLC was last updated on March 5, 2024. 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.