MEDICARE: ORAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3252009922	UT

General Provider Information

NPI Number	:	1972542801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	1951 W 4700 S
Second Line	:	SUITE 5
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84118-1108
Country	:	US
Telephone Number	:	801-969-1800
Fax Number	:	801-969-6223

Provider Business Practice Location Address
First Line	:	1951 W 4700 S
Second Line	:	SUITE 5
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84118-1108
Country	:	US
Telephone Number	:	801-969-1800
Fax Number	:	801-969-6223

Authorized Official
Title or Position	:	OWNER
Name	:	BRUCE J O'DONOGHUE
Credential	:	DDS
Telephone Number	:	801-969-1800

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

1951 W 4700 S STE 1
TAYLORSVILLE, UT
84118-1108

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Practice Fax:

1073572608 — MICHAEL B.HILL, DDS, PC
Practice Location Address:

1951 W 4700 S , SUITE #4
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1780644773 — DR. MICHAEL B HILL DDS
Practice Location Address:

1951 W 4700 S , SUITE #4
TAYLORSVILLE, UT
84118-1108

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Practice Fax: 801-966-8926

1295764710 — DR. JOHN CHAD CHRISTIANSEN D.C
Practice Location Address:

1951 W 4700 S
TAYLORSVILLE, UT
84118-1108

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1962507848 — DR. MICHAEL LOREN MASSENGALE DC
Practice Location Address:

1951 W 4700 S , SUITE 2
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1518015213 — DR. JOHN ERIC DEAN DDS
Practice Location Address:

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Practice Fax:

Directions to “ORAL HEALTH CENTER ” Practice Location

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