SOUTH OGEN PDC PLLC
NPI 1649894486
Dentist - General Practice in Ogden, UT

Q: What is South Ogen Pdc PLLC's NPI number?

The NPI number for South Ogen Pdc PLLC is 1649894486. It was assigned to this organization in the NPPES registry on June 6, 2020.

Q: What is South Ogen Pdc PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 06, 2020

5300 ADAMS AVE PKWY, OGDEN, UT 84405(801) 476-1234 Get Directions Write a Review

NPPES record last updated: June 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Ogen Pdc Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH OGEN PDC PLLC (NPI 1649894486) is a healthcare organization registered as a general practice in Ogden, Utah and active in the NPI registry since June 2020. The organization lists Jacob Warner, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1649894486

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH OGEN PDC PLLC

Location Address5300 ADAMS AVE PKWYOgden, UT 84405-6902

Mailing AddressPo Box 970328Orem, UT 84097-0309 · (801) 476-1234

Phone(801) 476-1234

Organization SubpartNo

Authorized OfficialJacob WarnerCredentialing Manager · (801) 691-1701

Enumeration DateJune 6, 2020

NPPES CertifiedJune 6, 2020

✔ NPI 1649894486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

5300 ADAMS AVE PKWY, Ogden, UT 84405

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN H PENNOCK DPT, ATC

Physical Therapist

5300 ADAMS AVE PKWY, 2B
OGDEN, UT 84405

Weber County (801) 475-0303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Ogen Pdc PLLC's NPI number?

The NPI number for South Ogen Pdc PLLC is 1649894486. It was assigned to this organization in the NPPES registry on June 6, 2020.

Where is South Ogen Pdc PLLC located?

South Ogen Pdc PLLC is located at 5300 Adams Ave Pkwy, Ogden, UT 84405. The listed phone number is (801) 476-1234.

What is South Ogen Pdc PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for South Ogen Pdc PLLC was last updated on June 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.