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Excel Cosmetic Surgery Center

Plastic and Reconstructive Surgery Physician in Provo, UT · enumerated 2007 · authorized official Dale Blake, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851422703

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Registry record

Entity type Organization (Type 2)
Legal business name Excel Cosmetic Surgery Center
Other name <Unavail>
Practice address 1735 N State St, Provo, UT, 84604
Fax (801) 374-6295
Enumeration date Mar 9, 2007
Last updated in NPPES Aug 19, 2008

Taxonomy & classification

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License 3591001205 (UT) Primary

Authorized official

Name Dale Blake
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Excel Cosmetic Surgery Center?
Excel Cosmetic Surgery Center is registered in NPPES as a Plastic and Reconstructive Surgery Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-19.