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ORAL SURGERY SPECIALTY
NPI 1790089886
Oral & Maxillofacial Surgery in South Jordan, UT

Active since January 04, 2011
3648 W 9800 S, SOUTH JORDAN, UT 84095(801) 397-2727 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oral Surgery Specialty NPPES

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

ORAL SURGERY SPECIALTY (NPI 1790089886) is a healthcare organization registered as an oral & maxillofacial surgery in South Jordan, Utah and active in the NPI registry since January 2011. The organization lists L. Douglas Israelsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1790089886
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameORAL SURGERY SPECIALTY
Location Address3648 W 9800 SSouth Jordan, UT 84095-3260
Mailing AddressPo Box 367Draper, UT 84020-0367 · (801) 397-2727
Phone(801) 397-2727
Organization SubpartNo
Authorized OfficialL. Douglas IsraelsenOwner · (801) 397-2727
Enumeration DateJanuary 4, 2011
Last NPPES UpdateNovember 22, 2011
✔ NPI 1790089886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in UT · 135181
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3648 W 9800 S, 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

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 Surgery Specialty's NPI number?

The NPI number for Oral Surgery Specialty is 1790089886. It was assigned to this organization in the NPPES registry on January 4, 2011.

Where is Oral Surgery Specialty located?

Oral Surgery Specialty is located at 3648 W 9800 S, South Jordan, UT 84095. The listed phone number is (801) 397-2727.

What is Oral Surgery Specialty's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Oral Surgery Specialty was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.