VINEYARD ORAL AND MAXILLOFACIAL SURGERY
NPI 1891394631
Dentist - Oral and Maxillofacial Surgery in Vineyard, UT

Q: What is Vineyard Oral And Maxillofacial Surgery's specialty?

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

Active since October 22, 2020

707 E MILL RD STE 102, VINEYARD, UT 84059(801) 766-4834(801) 766-2315 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vineyard Oral And Maxillofacial Surgery NPPES

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

VINEYARD ORAL AND MAXILLOFACIAL SURGERY (NPI 1891394631) is a healthcare organization registered as an oral and maxillofacial surgery in Vineyard, Utah and active in the NPI registry since October 2020. The organization lists Shannon Shields, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891394631

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameVINEYARD ORAL AND MAXILLOFACIAL SURGERY

Location Address707 E MILL RD STE 102Vineyard, UT 84059-5732

Mailing Address3300 N Running Creek Way Ste H210Lehi, UT 84043-5871 · (801) 766-4834 · Fax (801) 766-2315

Phone(801) 766-4834

Fax(801) 766-2315

Organization SubpartNo

Authorized OfficialShannon ShieldsOffice Manager · (801) 766-4834

Enumeration DateOctober 22, 2020

NPPES CertifiedOctober 22, 2020

✔ NPI 1891394631 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.

707 E MILL RD STE 102, Vineyard, UT 84059

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Other Names 1

Former Legal Business NameVineyard Oral And Maxillofacial 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

Other Providers at the Same Location NPPES

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

KYLE ROSS HOUSTON DMD

Dentist (Oral and Maxillofacial Surgery)

707 E MILL RD STE 102
VINEYARD, UT 84059

Utah County (801) 360-3129

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 Vineyard Oral And Maxillofacial Surgery's NPI number?

The NPI number for Vineyard Oral And Maxillofacial Surgery is 1891394631. It was assigned to this organization in the NPPES registry on October 22, 2020.

Where is Vineyard Oral And Maxillofacial Surgery located?

Vineyard Oral And Maxillofacial Surgery is located at 707 E Mill Rd Ste 102, Vineyard, UT 84059. The listed phone number is (801) 766-4834.

What is Vineyard Oral And Maxillofacial Surgery'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 Vineyard Oral And Maxillofacial Surgery was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.