Eric Daniels Linsley, DDS

Individual provider Active NPI General Practice Dentistry · North Ogden, UT

NPI 1124510532 · NPPES record last updated May 31, 2018

Key facts

NPI
1124510532
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
10844338-9922 (UT)
Practice address
2201 N Washington Blvd
North Ogden, UT 84414-7296
Phone
(801) 528-9099
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10844338-9922UTMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10844338-9922 UT Yes

Addresses

Primary practice location

2201 N Washington Blvd
North Ogden, UT 84414-7296

Mailing address

4762 S 1800 W Apt 5
Roy, UT 84067-3610
Phone (801) 690-4161

Other providers in North Ogden, UT

All providers in North Ogden, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.