Patrick Brain in Sandy - Oral And Maxillofacial Surgery

Patrick Brain - NPI 1689793994

Patrick Brain is a Oral And Maxillofacial Surgery in Sandy, Utah. Patrick Brain practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Patrick Brain is 1689793994. The last update date is 2007-07-08.

Patrick Brain's current location address is 11400 South 1030 East, Sandy, Utah. You can contact this provider via phone number 8015720100 and fax number 8015721922. The mailing address for Patrick Brain is 11400 South 1030 East, Sandy, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Brain
Address 11400 South 1030 East, Sandy, Utah
Phone Number 8015720100
Fax Number 8015721922
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1689793994
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11400 South 1030 East
City Sandy
State Utah (UT)
Post Code 84094
Phone Number 8015720100
Fax Number 8015721922

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 5624573-9924
Definition:
The specialty of dentistry which includes 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.

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FAQs about Patrick Brain

What is the Patrick Brain's 1689793994?

The Patrick Brain's NPI (National Provider Identifier) Number is 1689793994. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Patrick Brain's physical address?

The Patrick Brain is physically located at 11400 South 1030 East, in the city of Sandy, UT, with the postal code 84094.

What is the area of specialization for Patrick Brain, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Patrick Brain is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689793994 to Patrick Brain?

The Centers for Medicare & Medicaid Services assigned the 1689793994 to Patrick Brain on 2007-03-28.

When was the information related to Patrick Brain most recently updated or refreshed?

The details pertaining to the Patrick Brain, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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