SOUTH OGDEN SMILES, PC (NPI# 1992306922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992306922 |
| Entity Type | Organization |
| Organization Name | SOUTH OGDEN SMILES, PC |
| Practice Address |
5856 Harrison Blvd Ste B South Ogden UT 84403-2117 |
| Practice Telephone | 8014757776 |
| Practice Fax Number | 8014755865 |
| Mailing Telephone | 8014757776 |
| Mailing Fax Number | 8014757776 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | PATRICK MCNEAL TANNER (OWNER) |
| Authorized Official Telephone | 8013890053 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH OGDEN SMILES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
5856 HARRISON BLVD STE B |
| City | SOUTH OGDEN |
| State | UT |
| Zip Code | 84403-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790904217 | Patrick Mcneil Tanner | Dentist | 5856 Harrison Blvd Ste B, South Ogden, UT 84403-4397 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699976506 | Carol H Naylor | Dentist | 6017 Fashion Point Dr, South Ogden, UT 84403-4851 | 2007-05-29 |
| 1598982233 | Rochelle Rasmussen | Dentist | 5738 S 1475 E, Suite 200, South Ogden, UT 84403-4858 | 2007-04-20 |
| 1740320860 | Scott B Nilson | Dentist | 1508 E Skyline Dr Ste 500, South Ogden, UT 84405-4857 | 2007-02-07 |
| 1184725137 | Thomas C Johnston | Dentist | 5685 S 1475 E Ste 4a, South Ogden, UT 84403-4716 | 2006-09-25 |
| 1164038774 | Superior Smiles Incorporated | Dentist | 5640 Wasatch Dr Ste E, South Ogden, UT 84403-4993 | 2020-09-18 |
| 1700039351 | Accent Smiles Dental Care | Dentist | 5738 S 1475 E, Suite 100, South Ogden, UT 84403-4858 | 2008-10-28 |
| 1639357254 | Brian D Miles | Dentist | 5640 Wasatch Dr, Ste. A, South Ogden, UT 84403-4902 | 2008-02-06 |
| 1235323932 | Comfort Family Dental of South Ogden, LLC | Dentist | 5685 S 1475 E, Suite 2a, South Ogden, UT 84403-4716 | 2007-09-05 |
| 1821117474 | Mark V Cowley | Dentist | 5685 S 1475 E, Suite 1a, South Ogden, UT 84403-4716 | 2007-03-28 |
| 1235290297 | Clifford D Daines D D S | Dentist | 5974 Fashion Point Dr, Suite 230, South Ogden, UT 84403-4699 | 2006-12-13 |
| Find all providers in SOUTH OGDEN | ||||
| City | SOUTH OGDEN |
| Zip Code | 84403 |
Please comment or provide details below to improve the information on SOUTH OGDEN SMILES, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.