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CREEKSIDE ORAL SURGERY
NPI 1679943831
Dentist - Oral and Maxillofacial Surgery in Sandy, UT

Active since September 30, 2015
7390 S CREEK RD, SUITE 101, SANDY, UT 84093(801) 255-2422(801) 255-3013 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2016, Sep 30, 2015 (2 updates tracked since 2015).

About Creekside Oral Surgery NPPES

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

CREEKSIDE ORAL SURGERY (NPI 1679943831) is a healthcare organization registered as an oral and maxillofacial surgery in Sandy, Utah and active in the NPI registry since September 2015. The organization lists David Max Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1679943831
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCREEKSIDE ORAL & FACIAL SURGERY INC
Location Address7390 S CREEK RD, SUITE 101Sandy, UT 84093-6119
Mailing Address7390 S Creek Rd, Suite 101Sandy, UT 84093-6119 · (801) 255-2422 · Fax (801) 255-3013
Phone(801) 255-2422
Fax(801) 255-3013
Organization SubpartNo
Authorized OfficialDavid Max AndersonPresident · (801) 255-2422
Enumeration DateSeptember 30, 2015
Last NPPES UpdateJune 30, 20162 updates tracked since enumeration
✔ NPI 1679943831 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 · 315501-9924
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.
7390 S CREEK RD, Sandy, UT 84093
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Other Names 1

Other NameCreekside Oral Surgery

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

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 Creekside Oral & Facial Surgery Inc's NPI number?

The NPI number for Creekside Oral & Facial Surgery Inc is 1679943831. It was assigned to this organization in the NPPES registry on September 30, 2015. The provider is also known as Creekside Oral Surgery.

Where is Creekside Oral & Facial Surgery Inc located?

Creekside Oral & Facial Surgery Inc is located at 7390 S Creek Rd Suite 101, Sandy, UT 84093. The listed phone number is (801) 255-2422.

What is Creekside Oral & Facial Surgery 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 Creekside Oral & Facial Surgery Inc was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.