| Leland W. Pack D.m.d., M.s. Orthodontics & Associates, Inc. | |
|
1067 24th St Ogden UT 84401-2758 | |
| (801) 621-5892 | |
| Not Available |
| Full Name | Leland W. Pack D.m.d., M.s. Orthodontics & Associates, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1067 24th St, Ogden, Utah |
| Authorized Official Name and Position | Leland William Pack (PRESIDENT) |
| Authorized Official Contact | 8016215892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leland W. Pack D.m.d., M.s. Orthodontics & Associates, Inc. 1067 24th St Ogden UT 84401-2758 Ph: (801) 621-5892 | Leland W. Pack D.m.d., M.s. Orthodontics & Associates, Inc. 1067 24th St Ogden UT 84401-2758 Ph: (801) 621-5892 |
| NPI Number | 1285750554 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285750554 | NPI | - | NPPES |
| 528376102006 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 324142-9921 (Utah) | Primary |
Eric G Russell Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5685 S 1475 E Ste 4a, Ogden, UT 84403 Phone: 801-475-4646 | |
James Healy Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 12th St, Ogden, UT 84404 Phone: 801-394-0808 Fax: 801-392-2176 | |
Wasatch Advanced Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Harrison Blvd Suite #1, Ogden, UT 84403 Phone: 801-621-4800 Fax: 801-340-9561 | |
Dr. Matthew Miller, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5742 S 1475 E Ste 100, Ogden, UT 84403 Phone: 801-392-2182 Fax: 801-393-5869 | |
Ut Specialty Dental Services, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N 400 E, Ogden, UT 84414 Phone: 801-782-4762 | |
Dr. Greg A. Roberts P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 5742 S 1475 E Ste 100, Ogden, UT 84403 Phone: 801-479-9070 Fax: 801-479-9078 | |
Mount Ogden Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12320 33rd Street, Suite D, Ogden, UT 84403 Phone: 801-394-5554 Fax: 801-394-2893 |