MEDICARE: ASPIRE SURGICAL

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	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1548792468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE SURGICAL

Provider Business Mailing Address
First Line	:	6268 S 900 E
Second Line	:	SUITE 100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-2497
Country	:	US
Telephone Number	:	801-566-5117
Fax Number	:	801-566-5119

Provider Business Practice Location Address
First Line	:	6268 S 900 E
Second Line	:	SUITE 100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-2497
Country	:	US
Telephone Number	:	801-566-5117
Fax Number	:	801-566-5119

Authorized Official
Title or Position	:	INSURANCE MANAGER
Name	:	JAMIE HOROWITZ
Credential	:
Telephone Number	:	801-566-5117

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	03/23/2021

Similar Medicare Providers

1689795114 — DR. ALVIN J STOSICH MD, DDS
Practice Location Address:

6268 S 900 E , STE 100
SALT LAKE CITY, UT
84121-2497

Practice Phone: 801-566-5117
Practice Fax: 801-566-5119

1811129919 — DR. MICHELLE KRISTIN MAAK DMD
Practice Location Address:

6268 S 900 E , STE 100
SALT LAKE CITY, UT
84121-2497

Practice Phone: 801-566-5117
Practice Fax:

1063880896 — UTAH & ORAL & FACIAL SURGEONS
Practice Location Address:

6268 S 900 E , 100
SALT LAKE CITY, UT
84121-2497

Practice Phone: 801-566-5117
Practice Fax: 801-566-5119

1013233667 — DELTA DRUGS II, INC.
Practice Location Address:

2497 E LAKESHORE DR STE B
LAKE ELSINORE, CA
92530-4437

Practice Phone: 951-245-2325
Practice Fax: 951-245-4295

1790751642 — DR. CONNIE HALE NP
Practice Location Address:

3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA
71112-2497

Practice Phone: 318-746-1935
Practice Fax: 318-746-2514

1831206200 — PAULA SORENSEN O.D.
Practice Location Address:

2626 W MAIN ST , SUITE 4
RAPID CITY, SD
57702-2497

Practice Phone: 605-399-3811
Practice Fax: 605-399-3845

Directions to “ASPIRE SURGICAL ” 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.