Dr. Richard J Shamo
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6287 S Redwood Rd Ste 103
Taylorsville
, Utah 84123
Dr. Richard J Shamo
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6287 S Redwood Rd Ste 103
Taylorsville
, Utah 84123
(801) 808-1692
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Richard J Shamo
- 4739 S Wander Ln
- Holladay, UT
- Zip : 84117-5459
- Phone : (801) 808-1692
Second Address
- Dr. Richard J Shamo
- 6287 S Redwood Rd Ste 103
- Taylorsville, UT
- Zip : 84123
- Phone : (801) 261-2444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8583943-9924 | UT |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 1381 | WY |
National Provider Identifier
| NPI | 1356504005 |
|---|---|
| Provider Name | Dr. Richard J Shamo |
| First Address | Holladay, UT 84117-5459 |
| Second Address | Taylorsville, UT 84123 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2008 |
| Last Update Date | 06/09/2018 |
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.