| Oral And Maxillofacial Surgeons Of Utah, Llc | |
|
2297 N Hillfield Rd Building A, Suite 105 Layton UT 84041-6928 | |
| (801) 779-0506 | |
| (801) 779-4344 |
| Full Name | Oral And Maxillofacial Surgeons Of Utah, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2297 N Hillfield Rd, Layton, Utah |
| Authorized Official Name and Position | Todd C Liston (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8017790506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgeons Of Utah, Llc 2297 N Hillfield Rd Building A, Suite 105 Layton UT 84041-6928 Ph: (801) 779-0506 | Oral And Maxillofacial Surgeons Of Utah, Llc 2297 N Hillfield Rd Building A, Suite 105 Layton UT 84041-6928 Ph: (801) 779-0506 |
| NPI Number | 1780821124 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Medicare PECOS PAC ID | 2264597541 |
|---|---|
| Medicare Enrollment ID | O20090220000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780821124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Todd C Liston |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598835506 PECOS PAC ID: 3173696242 Enrollment ID: I20080723000031 |
Pediatric Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 N Hill Field Rd Ste 1, Layton, UT 84041 Phone: 801-774-0770 | |
Brent H. Craven, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 N Main St, Layton, UT 84041 Phone: 801-546-0931 | |
Mountain View Pediatric Dentistry Of Layton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 E Gentile St, Suite #11, Layton, UT 84041 Phone: 801-779-2900 | |
David L Cameron, Dmd, Ms, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 N Church St Ste 302, Layton, UT 84040 Phone: 801-544-1184 | |
Davis Center For Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 W Heritage Park Blvd., Suite 103, Layton, UT 84041 Phone: 801-614-0999 Fax: 801-614-0998 | |
Jackson Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1868 N 400 W Ste 110, Layton, UT 84041 Phone: 801-774-8198 Fax: 801-774-8191 | |
Gardner Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 N Fairfield Rd, Layton, UT 84041 Phone: 801-444-9911 |