Oral Surgery Specialty
NPI 1790089886 · Oral & Maxillofacial Surgery (D.M.D.) · South Jordan, UT
Oral Surgery Specialty is a Oral & Maxillofacial Surgery (D.M.D.) organization in South Jordan, UT (NPI 1790089886).
Provider details
- NPI number
- 1790089886
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- L. Israelsen, Owner(801) 397-2727
- License
- 135181 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2011-01-04
- Last updated
- 2011-11-22
Frequently asked questions
- What is Oral Surgery Specialty's NPI number?
- Oral Surgery Specialty's National Provider Identifier (NPI) is 1790089886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral Surgery Specialty?
- Oral Surgery Specialty is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Oral Surgery Specialty located?
- Oral Surgery Specialty's practice location on file with NPPES is 3648 W 9800 S, South Jordan, UT 84095-3260.
- What is Oral Surgery Specialty's phone number?
- The practice phone number listed in the NPPES registry for Oral Surgery Specialty is (801) 397-2727.
- Who is the authorized official for Oral Surgery Specialty?
- The authorized official listed on Oral Surgery Specialty's NPPES record is L. Israelsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral Surgery Specialty's NPI active?
- Yes — Oral Surgery Specialty's NPI (1790089886) is active in the NPPES registry as of the last update on 2011-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.