| Mathew D Schweppe | |
|
5685 S 1475 E Ste 3a South Ogden UT 84403-4598 | |
| (801) 479-9220 | |
| (801) 479-0837 |
| Full Name | Mathew D Schweppe |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5685 S 1475 E Ste 3a, South Ogden, Utah |
| Authorized Official Name and Position | Mathew Schweppe (OWNER) |
| Authorized Official Contact | 8014799220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew D Schweppe 5685 S 1475 E South Ogden UT 84403-4716 Ph: (801) 479-9220 | Mathew D Schweppe 5685 S 1475 E Ste 3a South Ogden UT 84403-4598 Ph: (801) 479-9220 |
| NPI Number | 1013261007 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013261007 | NPI | - | NPPES |
| 517747532013 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1432269923 (Utah) | Primary |
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