Healthcare Provider Details

I. General information

NPI: 1083534994
Provider Name (Legal Business Name): AVANT PLASTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10509 S RIVER HEIGHTS DR STE 202
SOUTH JORDAN UT
84095-6122
US

IV. Provider business mailing address

10509 S RIVER HEIGHTS DR STE 202
SOUTH JORDAN UT
84095-6122
US

V. Phone/Fax

Practice location:
  • Phone: 801-641-5571
  • Fax: 801-641-5571
Mailing address:
  • Phone: 801-641-5571
  • Fax: 801-641-5571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS HOWLAND
Title or Position: OWNER
Credential: MD
Phone: 801-641-5571