npidexNPI registry + Medicare data

ALVIN STOSICH, MD, DDS

Oral & Maxillofacial Surgery (D.M.D.) · SALT LAKE CITY, UT

Individual Active Opted out of Medicare NPI 1689795114

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X✓6434136-1205UT
Oral and Maxillofacial Surgery (Dentist)1223S0112X6434136-9925UT
Oral & Maxillofacial Surgery (D.M.D.)204E00000X6395NE

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2018-02-25 through 2028-02-25.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Utah

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.