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Legacy Heights Oral & Facial Surgery PLLC — NPI 1912507153, Farmington, UT | NPI Central

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NPI 1912507153

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Legacy Heights Oral & Facial Surgery PLLC

NPI 1912507153 · Oral and Maxillofacial Surgery Clinic/Center · Farmington, UT

Provider details

NPI number: 1912507153
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Dayne Jensen, Owner/Oral Surgeon(801) 698-7121

Specialties & taxonomies

Oral and Maxillofacial Surgery Clinic/CenterPrimary261QS0112X
Ambulatory Health Care Facilities

Practice location

193 S 200 W Ste B

Farmington, UT 84025-2406

Phone: (801) 698-7121

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

193 S 200 W Ste B

Farmington, UT 84025-2406

Other names (DBA / former)

Doing business as: Legacy Heights Oral & Facial Surgery

Registry dates

Enumerated: 2020-10-27
Last updated: 2020-10-27
Certified: 2020-10-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.