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General NPI Number Information
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NPI Number | 1659296986
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Entity Type | Organization
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Legal Business Name | DR. URBAN FACIAL SURGICAL ARTS PLLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 7532 S CENTER VIEW CT STE 102
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City | WEST JORDAN
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State | UT
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Zip | 84084-5547
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Country | US
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Telephone | 801-282-5363
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Fax | 801-282-5360
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Provider Business Mailing Address
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Address Line | 7532 S CENTER VIEW CT STE 102
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City | WEST JORDAN
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State | UT
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Zip | 84084-5547
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Country | US
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Telephone | 801-282-5363
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Fax | 801-282-5360
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MICHELE URBAN
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Credential |
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Telephone | 801-282-5363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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