OrganizationActive
Oral Maxillofacial Surgery, PLLC
NPI 1518040591 · Oral and Maxillofacial Surgery (Dentist) · Pleasant Grove, UT
Provider details
- NPI number
- 1518040591
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Janine Gale, Asst. Office Manager(801) 375-4707
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
912 N 2000 W
Pleasant Grove, UT 84062-4047
Phone: (801) 756-0766
Approximate (ZIP-level) locationGet directions
Mailing address
777 N 500 W
Provo, UT 84601-1541
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2010-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.