DAVIS CENTER FOR ORAL & MAXILLOFACIAL SURGERY (NPI# 1093713554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093713554 |
| Entity Type | Organization |
| Organization Name | DAVIS CENTER FOR ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
890 W Heritage Park Blvd. Suite 103 Layton UT 84041 |
| Practice Telephone | 8016140999 |
| Practice Fax Number | 8016140998 |
| Mailing Telephone | 8016140999 |
| Mailing Fax Number | 8016140998 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL BENSON (OWNER) |
| Authorized Official Telephone | 8016140999 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
4124 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407085160 | Davis Center for Oral & Maxillofacial Surgery | Dentist | 890 Heritage Park Blvd Ste 103, Layton, UT 84041-5622 | 2009-07-02 |
| Street Address |
890 W HERITAGE PARK BLVD. SUITE 103 |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518186188 | The Oral & Facial Surgery Center | Dentist | 938 S 2000 E, Suite 100, Clearfield, UT 84015-6282 | 2007-04-24 |
| 1205913035 | F. Zane Jessen | Dentist | 1508 E Skyline Dr Ste 800, Ogden, UT 84405-4889 | 2006-11-01 |
| 1194837625 | Kyle S Christensen | Dentist | 1268 W. South Jordan Parkway, Suite 200, South Jordan, UT 84095-4653 | 2006-08-31 |
| 1083973002 | Bryan Glen Trump | Dentist | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2012-05-11 |
| 1053456368 | Crayton Ross Walker | Dentist | 1060 E 100 S, 204, Salt Lake City, UT 84102-1501 | 2007-02-21 |
| 1548349251 | G. Shane Jessen | Dentist | 1508 E Skyline Dr Ste 800, Ogden, UT 84405-4889 | 2006-11-03 |
| 1578663480 | University Pathology Associates | Dentist | 50 N Medical Dr, Pathology, Salt Lake City, UT 84132-0001 | 2006-09-22 |
| 1902905417 | Arup Pathology Associates | Dentist | 50 N Medical Dr, Pathology, Salt Lake City, UT 84132-0001 | 2006-09-21 |
| 1700840717 | Gary Lynn Ellis | Dentist | 500 Chipeta Way, Salt Lake City, UT 84108-1221 | 2006-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.