MEDICARE: ORAL & FACIAL RECONSTRUCTIVE SURGEONS OF UTAH, LLC

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	7961990-1205	UT

General Provider Information

NPI Number	:	1184980005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORAL & FACIAL RECONSTRUCTIVE SURGEONS OF UTAH, LLC

Provider Business Mailing Address
First Line	:	1250 E 3900 S STE 360
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1362
Country	:	US
Telephone Number	:	801-262-7447
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 E 3900 S STE 360
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1362
Country	:	US
Telephone Number	:	801-262-7447
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER, SURGEON
Name	:	DR. NATHAN GRANT ADAMS
Credential	:	MD, DMD
Telephone Number	:	801-262-7447

Provider Enumeration Date	:	04/04/2012
Last Update Date	:	11/12/2024

Similar Medicare Providers

1174604128 — NATHAN G ADAMS DMD, MD
Practice Location Address:

1250 E 3900 S STE 360
SALT LAKE CITY, UT
84124-1362

Practice Phone: 801-262-7447
Practice Fax: 801-262-7450

1639250673 — MICHAEL A GLADWELL D.M.D., MD
Practice Location Address:

1250 E 3900 S STE 360
SALT LAKE CITY, UT
84124-1362

Practice Phone: 801-262-7447
Practice Fax:

1073729943 — DR. LAUREN OPAL FLORENCE M.D.
Practice Location Address:

1250 EAST 3900 SOUTH , SUITE #301
SALT LAKE CITY, UT
84124-1362

Practice Phone: 801-264-9111
Practice Fax: 801-685-0440

1114107026 — DR. CHRISTOPHER IAN MAXWELL M.D.
Practice Location Address:

1250 E 3900 S STE 360
SALT LAKE CITY, UT
84124-1362

Practice Phone: 801-263-3041
Practice Fax: 801-263-8485

1144416280 — PARAMOUNT PEDIATRIC HOME HEALTH, INC.
Practice Location Address:

1037 STATE CIR
SALT LAKE CITY, UT
84104-1362

Practice Phone: 801-359-5437
Practice Fax: 801-532-3855

1649771767 — MELISSA BIRCH
Practice Location Address:

420 E SOUTH TEMPLE STE 520
SALT LAKE CITY, UT
84111-1362

Practice Phone: 385-626-5907
Practice Fax:

Directions to “ORAL & FACIAL RECONSTRUCTIVE SURGEONS OF UTAH, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.