| Ford & Draper Dental Llc | |
|
1508 E Skyline Dr Suite 400 South Ogden UT 84405-4846 | |
| (801) 475-6500 | |
| (801) 479-5904 |
| Full Name | Ford & Draper Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1508 E Skyline Dr, South Ogden, Utah |
| Authorized Official Name and Position | Jonathan G. Ford (OWNER) |
| Authorized Official Contact | 8014756500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ford & Draper Dental Llc 1508 E Skyline Dr Suite 400 South Ogden UT 84405-4846 Ph: (801) 475-6500 | Ford & Draper Dental Llc 1508 E Skyline Dr Suite 400 South Ogden UT 84405-4846 Ph: (801) 475-6500 |
| NPI Number | 1801004874 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801004874 | NPI | - | NPPES |
| 529356756000 | Medicaid | UT | |
| 529356730001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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