MOUNT OGDEN DENTAL PC (NPI# 1053648881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053648881 |
| Entity Type | Organization |
| Organization Name | MOUNT OGDEN DENTAL PC |
| Practice Address |
12320 33rd Street Suite D Ogden UT 84403 |
| Mailing Address |
1220 33rd Street Suite D Ogden UT 84403 |
| Practice Telephone | 8013945554 |
| Practice Fax Number | 8013942893 |
| Mailing Telephone | 8013945554 |
| Mailing Fax Number | 8013942893 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | MR. DERALD W GEDDES (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 8013945554 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
144437 | UT | Dental Providers |
| Street Address |
12320 33RD STREET SUITE D |
| City | OGDEN |
| State | UT |
| Zip Code | 84403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1023500675 | Carsen Robert Mcdaniel | Dentist | 1016 E 5675 S, Ogden, UT 84405-7099 | 2018-05-30 |
| 1700287257 | Ismile At Ogden Dental Pllc | Dentist | 5275 Adams Ave Pkwy Ste A, Ogden, UT 84405-6748 | 2014-09-15 |
| 1336404763 | Modern Dental Professionals Utah, PC | Dentist | 1140 W Riverdale Rd, Suite D, Ogden, UT 84405-3787 | 2012-07-11 |
| 1093087629 | Matthew R. Wolpert | Dentist | 3860 Jackson Ave Ste 6, Ogden, UT 84403-1979 | 2012-01-27 |
| 1841568243 | South Ogden Dental PC | Dentist | 5738 S 1475 E Ste 200, Ogden, UT 84403-4859 | 2011-12-13 |
| 1518269984 | Paul Crandall Bennion | Dentist | 1796 Beus Dr., Ogden, UT 84403 | 2010-11-17 |
| 1619118791 | Nathan John Starley | Dentist | 3590 Harrison Blvd Ste 6, Ogden, UT 84403-2012 | 2009-03-18 |
| Find all providers in OGDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.