| NPI | 1194267724 |
|---|---|
| Doing Business As | ELEVATE ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JAMES HAYNIE BARTON President 435-287-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 95126489924) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: UT 95126481205) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-12-07 |