Ralph W Ogilvie, D.M.D.
Individual provider Active NPI General Practice Dentistry · Heber, UT
NPI 1215064860 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215064860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 261426-9922 (UT)
- Practice address
- 425 East 1200 South
Heber, UT 84032 - Phone
- (435) 654-4004
- Fax
- (435) 654-4084
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261426-9922 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Valley Dentistry, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 261426-9922 | UT | Yes |
Addresses
Primary practice location
425 East 1200 South
Heber, UT 84032
Mailing address
PO Box 310
Heber City, UT 84032-0310
Phone (435) 654-4004
Other providers in Heber, UT
- Nicole Davis
- Ron T Dummar
- Michael Heder
- Ihc Health Services, Inc
- Mountain Medical Family Therapy
- Wasatch Medical Imaging LLC
- James Bruce Williams
All providers in Heber, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.