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Dr. Richard J Shamo, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Taylorsville, Utah
NPI 1356504005

Richard J Shamo is a Oral and Maxillofacial Surgery (Dentist) based in Holladay, UT and is specialized in Oral and Maxillofacial Surgery. Richard J Shamo practices in Taylorsville, UT and has the professional credentials of DDS,MD. The NPI Number for Richard J Shamo is 1356504005 and holds a License No. (Utah).

The current practice location address for Richard J Shamo is 6287 S Redwood Rd Ste 103, Taylorsville, UT and can be reached out via phone at 801-261-2444. You can also correspond with Richard J Shamo through the mailing address at 4739 S WANDER LN, HOLLADAY, UT - 84117-5459 (mailing address contact number: 801-808-1692).

Location: 6287 S Redwood Rd Ste 103, Taylorsville, UT, 84117-5459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356504005
Provider Name
Richard J Shamo
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
6287 S Redwood Rd Ste 103, Taylorsville, UT, 84117-5459
Phone Number
801-261-2444
Fax Number
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6287 S Redwood Rd Ste 103
City
Taylorsville
State
Utah
Zip
84123
Phone Number
801-261-2444
Fax Number
person
Provider Business Mailing Address Details
Address
4739 S Wander Ln
City
Holladay
State
Utah
Zip
84117-5459
Phone Number
801-808-1692
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
8583943-9924 (Utah)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
1381 (Wyoming)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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