OrganizationActive
Vineyard Oral and Maxillofacial Surgery
NPI 1891394631 · Oral and Maxillofacial Surgery (Dentist) · Vineyard, UT
Provider details
- NPI number
- 1891394631
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Shannon Shields, Office Manager(801) 766-4834
Specialties & taxonomies
Dental Providers
Practice location
707 E Mill Rd Ste 102
Vineyard, UT 84059-5732
Phone: (801) 766-4834
Fax: (801) 766-2315
Approximate (ZIP-level) locationGet directions
Mailing address
3300 N Running Creek Way Ste H210
Lehi, UT 84043-5871
Other names (DBA / former)
- Former legal business name
- Vineyard Oral and Maxillofacial Surgery
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.