Healthcare Provider Details

I. General information

NPI: 1346759222
Provider Name (Legal Business Name): JOHN VARNER MD, DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2017
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 W 900 N STE A
SPANISH FORK UT
84660-1181
US

IV. Provider business mailing address

1464 W 4600 S
SPANISH FORK UT
84660-5111
US

V. Phone/Fax

Practice location:
  • Phone: 801-673-6003
  • Fax:
Mailing address:
  • Phone: 801-673-6003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberME171596
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number10394591-1205
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number10394591-9925
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: