| South Ogden Smiles, Pc | |
|
5856 Harrison Blvd Ste B South Ogden UT 84403-2117 | |
| (801) 475-7776 | |
| (801) 475-5865 |
| Full Name | South Ogden Smiles, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5856 Harrison Blvd Ste B, South Ogden, Utah |
| Authorized Official Name and Position | Patrick Mcneal Tanner (OWNER) |
| Authorized Official Contact | 8013890053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Ogden Smiles, Pc 5856 Harrison Blvd Ste B South Ogden UT 84403-2117 Ph: (801) 475-7776 | South Ogden Smiles, Pc 5856 Harrison Blvd Ste B South Ogden UT 84403-2117 Ph: (801) 475-7776 |
| NPI Number | 1992306922 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992306922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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