South Ogden Dental Pc

LBN: South Ogden Dental Pc
South Ogden Dental Pc is an health care organization with primary practice located at 5738 S 1475 E Ste 200 , Ogden UT 84403-4859. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. South Ogden Dental Pc can be contacted via phone (801) 479-3500, or through Rasmussen, Rochelle via phone (801) 479-3500.

Contact Information

Primary practice address
5738 S 1475 E Ste 200 Ogden UT 84403-4859
Phone: (801) 479-3500
Fax: (801) 479-1600
Website:
Map and Directions
Authorized official contact:
Name: Rasmussen, Rochelle Doctor of Dental Surgery (DDS)
Phone: (801) 479-3500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 276306 Utah

Profile Details

NPI number 1841568243
LBN Legal business name South Ogden Dental Pc
DBA Doing business as
Authorized official Rasmussen, Rochelle Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2011
Last updated Dec 13th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841568243 NPPES
Utah MEDICAID 52937685101001

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