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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since June 06, 2020
5300 ADAMS AVE PKWY, OGDEN, UT 84405(801) 476-1234 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Jun 6, 2020 (2 updates tracked since 2020).

About South Ogden Pdc Pllc NPPES

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

SOUTH OGDEN 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 OGDEN PDC PLLC
Location Address5300 ADAMS AVE PKWYOgden, UT 84405-6902
Mailing Address727 E Utah Valley Dr Ste 300American Fork, UT 84003-3880 · (801) 476-1234
Phone(801) 476-1234
Organization SubpartNo
Authorized OfficialJacob WarnerCredentialing Manager · (801) 691-1701
Enumeration DateJune 6, 2020
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ 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 Ogden Pdc PLLC's NPI number?

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

Where is South Ogden Pdc PLLC located?

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

What is South Ogden 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 Ogden Pdc PLLC was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.