OrganizationActive
Southern Utah Surgical Arts
NPI 1962918094 · Oral & Maxillofacial Surgery (D.M.D.) · St. George, UT
Provider details
- NPI number
- 1962918094
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shawn Davis, Owner(435) 628-1100
- License
- D07932 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
393 E Riverside Dr, Ste 2b
St. George, UT 84790
Phone: (435) 628-1100
Fax: (435) 673-0330
Street-level locationGet directions
Mailing address
393 E Riverside Dr, Ste 2b
St George, UT 84790
Other names (DBA / former)
- Doing business as
- Oral & Facial Surgery Institute
Registry dates
- Enumerated
- 2017-12-27
- Last updated
- 2017-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.