Cameron Judd Egbert in Spanish Fork - Oral And Maxillofacial Surgery
Cameron Judd Egbert - NPI 1033320957
Cameron Judd Egbert is a Oral And Maxillofacial Surgery in Spanish Fork, Utah. Cameron Judd Egbert practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Cameron Judd Egbert is 1033320957. The last update date is 2018-05-23.
Cameron Judd Egbert's current location address is 642 Kirby Ln Ste 101, Spanish Fork, Utah. You can contact this provider via phone number 8017989500 and fax number 8017985466. The mailing address for Cameron Judd Egbert is 642 Kirby Ln Ste 101, Spanish Fork, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cameron Judd Egbert |
|---|---|
| Address | 642 Kirby Ln Ste 101, Spanish Fork, Utah |
| Phone Number | 8017989500 |
| Fax Number | 8017985466 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1033320957 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2018-05-23 |
Provider Mailing Address Detail
| Address | 642 Kirby Ln Ste 101 |
|---|---|
| City | Spanish Fork |
| State | Utah (UT) |
| Post Code | 846605753 |
| Phone Number | 8017989500 |
| Fax Number | 8017985466 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 7835316 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1033320957 | UT | -- |
Post Comment/ Review Below
What is the Cameron Judd Egbert's 1033320957?
The Cameron Judd Egbert's NPI (National Provider Identifier) Number is 1033320957. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Cameron Judd Egbert is physically located?
The Cameron Judd Egbert is situated at the following address: 642 Kirby Ln Ste 101, Spanish Fork, UT 846605753.
What is Cameron Judd Egbert's area of expertise and its corresponding taxonomy classification?
The Cameron Judd Egbert's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1033320957 to Cameron Judd Egbert?
The Centers for Medicare & Medicaid Services assigned the 1033320957 to Cameron Judd Egbert on 2007-05-24.
When was the information related to Cameron Judd Egbert most recently updated or refreshed?
The details pertaining to the Cameron Judd Egbert, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-23.