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ORAL MAXILLOFACIAL SURGERY PLLC
NPI 1497838577
Dentist - Oral and Maxillofacial Surgery in Provo, UT

Active since October 23, 2006
777 N 500 W, SUITE 102, PROVO, UT 84601(801) 375-4707 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral Maxillofacial Surgery Pllc NPPES

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

ORAL MAXILLOFACIAL SURGERY PLLC (NPI 1497838577) is a healthcare organization registered as an oral and maxillofacial surgery in Provo, Utah and active in the NPI registry since October 2006. The organization lists Janine Gale, Asst. Office Manager, as its authorized official.

NPPES Registry Identity

NPI1497838577
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL MAXILLOFACIAL SURGERY PLLC
Location Address777 N 500 W, SUITE 102Provo, UT 84601-1541
Mailing Address777 N 500 W, Suite 102Provo, UT 84601-1541 · (801) 375-4707
Phone(801) 375-4707
Organization SubpartNo
Authorized OfficialJanine GaleAsst. Office Manager · (801) 375-4707
Enumeration DateOctober 23, 2006
Last NPPES UpdateApril 7, 2015
✔ NPI 1497838577 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.
777 N 500 W, Provo, UT 84601
Open in Google Maps ↗

Other Identifiers 1

Other64166UT · Pehp

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. LOUIS A ERICKSON DDS
Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Utah County (801) 374-5100
DR. GARY M HULET DMD
Dentist
777 N 500 W, SUITE 101B
PROVO, UT 84601
Utah County (801) 375-1275
LIFE INTEGRATIVE HEALTH CENTER
Clinic/Center
777 N 500 W, SUITE 104
PROVO, UT 84601
Utah County (801) 869-8199
DR. WILLIAM LECILE MCBEE DDS
Dentist (Oral and Maxillofacial Surgery)
777 N 500 W, SUITE 102
PROVO, UT 84601
Utah County (801) 375-4707
KYLE KONE LAMFT
Marriage & Family Therapist
777 N 500 W, #104
PROVO, UT 84601
Utah County (801) 869-8199
WISE CHOICE DENTISTRY INC.
Dentist (General Practice)
777 N 500 W, SUITE 201 B
PROVO, UT 84601
Utah County (801) 374-5200
LYNDI JENSON D.D.S
Dentist
777 N 500 W
PROVO, UT 84601
Utah County (801) 455-5244
KELLY A GOMEZ DPM PC
Clinic/Center (Podiatric)
777 N 500 W, SUITE 105
PROVO, UT 84601
Utah County (801) 375-6677

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 Oral Maxillofacial Surgery PLLC's NPI number?

The NPI number for Oral Maxillofacial Surgery PLLC is 1497838577. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Oral Maxillofacial Surgery PLLC located?

Oral Maxillofacial Surgery PLLC is located at 777 N 500 W Suite 102, Provo, UT 84601. The listed phone number is (801) 375-4707.

What is Oral Maxillofacial Surgery 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 Oral Maxillofacial Surgery PLLC accept?

Health plans from Molina Healthcare list Oral Maxillofacial Surgery 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 Oral Maxillofacial Surgery PLLC was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.