NPIMap

Organization Active NPI

Comfort Family Dental of South Ogden, LLC

  • General Practice Dentistry
  • South Ogden, UT
National Provider Identifier
1235323932
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
144024 Issued in UT
Legal business name
COMFORT FAMILY DENTAL OF SOUTH OGDEN, LLC
Practice address
5685 S 1475 E
Suite 2a
South Ogden, UT 84403-4716
Phone
(801) 475-0509
Fax
(801) 475-0136
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul A Mackley, DDSNPI 1437168275
Title
Managing Doctor
Phone
(801) 782-6681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 144024 UT Primary

Addresses

Primary practice location

5685 S 1475 E
Suite 2a
South Ogden, UT 84403-4716

Mailing address

5685 S 1475 E
Suite 2a
South Ogden, UT 84403-4716
Phone (801) 475-0509

National Provider Directory

National Provider Directory

Locations

5685 S 1475 E
Ste 2A
South Ogden, UT 84403
Phone (801) 475-0509

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1235323932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 S 1475 E",
            "address_2": "SUITE 2A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034716",
            "telephone_number": "801-475-0509",
            "fax_number": "801-475-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5685 S 1475 E",
            "address_2": "SUITE 2A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034716",
            "telephone_number": "801-475-0509",
            "fax_number": "801-475-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT FAMILY DENTAL OF SOUTH OGDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MACKLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DOCTOR",
        "authorized_official_telephone_number": "801-782-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.