South Ogden Smiles, PC
NPI #1992306922 in South Ogden, Utah
Provider Information
- NPI Number
- 1992306922
- Entity Type
- Organization
- Organization Name
- South Ogden Smiles, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTH OGDEN SMILES, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 5, 2020
- Last Updated
- Nov 5, 2020
Practice Location
- Address
- 5856 HARRISON BLVD STE B
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-2117
- Phone
- (801) 475-7776
Authorized Official
- Name
- PATRICK MCNEAL TANNER, DMD
- Title
- OWNER
- Phone
- (801) 389-0053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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