SOUTH OGEN 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: June 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About SOUTH OGEN PDC PLLC

This page provides the complete NPI Profile along with additional information for South Ogen Pdc Pllc, a provider established in Ogden, Utah operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1649894486 assigned on June 2020. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jacob Warner (Credentialing Manager)

NPI
1649894486 Verify this NPI
Provider Name
SOUTH OGEN PDC PLLC
Entity Type
Organization
Location Address
5300 ADAMS AVE PKWY OGDEN, UT 84405
Location Phone
(801) 476-1234
Mailing Address
PO BOX 970328 OREM, UT 84097
Mailing Phone
(801) 476-1234
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2020
Last Update Date
06-06-2020
Code Navigator

A dentist like South Ogen Pdc Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACOB WARNER

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(801) 691-1701

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapist
5300 ADAMS AVE PKWY, 2B
OGDEN, UT 84405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649894486, enumerated as an "organization" on June 06, 2020.

The provider is located at 5300 ADAMS AVE PKWY OGDEN, UT 84405 and the phone number is (801) 476-1234.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.