Healthcare Provider Details

I. General information

NPI: 1780728998
Provider Name (Legal Business Name): NORMUND KARL AUZINS D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 S WAKARA WAY
SALT LAKE CITY UT
84108-1213
US

IV. Provider business mailing address

7722 SILVER CREEK RD
PARK CITY UT
84098-5511
US

V. Phone/Fax

Practice location:
  • Phone: 801-587-6453
  • Fax:
Mailing address:
  • Phone: 206-291-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number13342676-9925
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number2025036888
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: