OrganizationActive
Utah & Oral & Facial Surgeons
NPI 1063880896 · Oral and Maxillofacial Surgery (Dentist) · Salt Lake City, UT
Provider details
- NPI number
- 1063880896
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Alvin Stosich, Owner(801) 566-5117
- License
- 64341369924 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6268 S 900 E
100
Salt Lake City, UT 84121-2497
Phone: (801) 566-5117
Fax: (801) 566-5119
Street-level locationGet directions
Mailing address
6268 S 900 E
Salt Lake City, UT 84121-2497
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2015-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.