WISE CLEFT CENTER FOR EXCELLENCE LLC – NPI #1588407142
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Health Care Provider Taxonomy Code for Plastic Surgery

WISE CLEFT CENTER FOR EXCELLENCE LLC is a plastic surgeon located in DRAPER, UT. NPPES has assigned the NPI number 1588407142 to WISE CLEFT CENTER FOR EXCELLENCE LLC on June 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was last updated on Feb 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WISE CLEFT CENTER FOR EXCELLENCE LLC below.

NPI Profile for
WISE CLEFT CENTER FOR EXCELLENCE LLC

NPI Number
1588407142
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WISE CLEFT CENTER FOR EXCELLENCE LLC
Primary location
11762 S STATE ST STE 110
DRAPER, UT 84020-7158
Phone: (385) 977-8125 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GAVIN LAWRENCE
DIRECTOR OF DEVELOPMENT
Phone: (435) 669-7660
Updated
Certification Date
Feb 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.