| Creekside Oral Surgery | |
|
7390 S Creek Rd Suite 101 Sandy UT 84093-6119 | |
| (801) 255-2422 | |
| (801) 255-3013 |
| Full Name | Creekside Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7390 S Creek Rd, Sandy, Utah |
| Authorized Official Name and Position | David Max Anderson (PRESIDENT) |
| Authorized Official Contact | 8012552422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Oral Surgery 7390 S Creek Rd Suite 101 Sandy UT 84093-6119 Ph: (801) 255-2422 | Creekside Oral Surgery 7390 S Creek Rd Suite 101 Sandy UT 84093-6119 Ph: (801) 255-2422 |
| NPI Number | 1679943831 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679943831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 315501-9924 (Utah) | Primary |
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