Dr. Cameron Judd Egbert
Oral and Maxillofacial Surgeon
642 Kirby Ln Ste 101
Spanish Fork
, Utah 84660-5753
Dr. Cameron Judd Egbert
Oral and Maxillofacial Surgeon
642 Kirby Ln Ste 101
Spanish Fork
, Utah 84660-5753
(801) 450-2019
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Cameron Judd Egbert
- 8426 Stickney Ave
- Wauwatosa, WI
- Zip : 53226-2809
- Phone : (801) 450-2019
Second Address
- Dr. Cameron Judd Egbert
- 642 Kirby Ln Ste 101
- Spanish Fork, UT
- Zip : 84660-5753
- Fax : (801) 798-5466
- Phone : (801) 798-9500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 7835316 | UT |
National Provider Identifier
| NPI | 1033320957 |
|---|---|
| Provider Name | Dr. Cameron Judd Egbert |
| First Address | Wauwatosa, WI 53226-2809 |
| Second Address | Spanish Fork, UT 84660-5753 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 23/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1033320957 | (05) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.