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DR. BLAINE D. AUSTIN DDS
NPI 1679089239
Dentist - Oral and Maxillofacial Surgery in Salt Lake City, UT

Active since December 19, 2017
1250 EAST 3900 SOUTH, SUITE 210, SALT LAKE CITY, UT 84124(801) 264-1500(801) 265-9963 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 8, 2018, Dec 19, 2017 (2 updates tracked since 2017).

About Dr. Blaine D. Austin Dds NPPES

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

DR. BLAINE D. AUSTIN DDS (NPI 1679089239) is a healthcare organization registered as an oral and maxillofacial surgery in Salt Lake City, Utah and active in the NPI registry since December 2017. The organization lists Blaine D Austin, Oral Maxillo-facial Surgery, as its authorized official.

NPPES Registry Identity

NPI1679089239
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBLAINE D. AUSTIN DDS INC.
Location Address1250 EAST 3900 SOUTH, SUITE 210Salt Lake City, UT 84124
Mailing Address1250 E 3900 S Ste 210Salt Lake City, UT 84124-1367 · (801) 265-1500 · Fax (801) 259-9963
Phone(801) 264-1500
Fax(801) 265-9963
Organization SubpartNo
Authorized OfficialBlaine D AustinOral Maxillo-facial Surgery · (801) 759-4378
Enumeration DateDecember 19, 2017
Last NPPES UpdateJanuary 8, 20182 updates tracked since enumeration
✔ NPI 1679089239 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 · 140958
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 EAST 3900 SOUTH, Salt Lake City, UT 84124
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Other Names 1

Doing Business AsDr. Blaine D. Austin Dds

Other Identifiers 1

MedicaidU000005310UT

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 2

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

DR. LAUREN OPAL FLORENCE M.D.
Surgery (Plastic and Reconstructive Surgery)
1250 EAST 3900 SOUTH, SUITE #301
SALT LAKE CITY, UT 84124
Salt Lake County (801) 264-9111
RICHARD E ALLEN M.D.
Family Medicine
1250 EAST 3900 SOUTH, SUITE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000

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 Blaine D. Austin Dds Inc.'s NPI number?

The NPI number for Blaine D. Austin Dds Inc. is 1679089239. It was assigned to this organization in the NPPES registry on December 19, 2017. The provider is doing business as Dr. Blaine D. Austin Dds.

Where is Blaine D. Austin Dds Inc. located?

Blaine D. Austin Dds Inc. is located at 1250 East 3900 South Suite 210, Salt Lake City, UT 84124. The listed phone number is (801) 264-1500.

What is Blaine D. Austin Dds Inc.'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 Blaine D. Austin Dds Inc. was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.