A-1 Dental PC
Organization Active NPI General Practice Dentistry · Ogden, UT
NPI 1811269731 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1811269731
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6826055 (UT)
- Legal business name
- A-1 DENTAL PC
- Practice address
- 3785 Harrison Blvd
Suite 1
Ogden, UT 84403-2071 - Phone
- (801) 621-2116
- Fax
- (801) 621-5513
- NPI assigned
- Feb 8, 2012
- Organization subpart
- No
Authorized official
- Name
- Kody Mund
- Title
- President
- Phone
- (801) 621-2116
Practitioners 1
-
Kody Call Mund, DMD
National Provider Directory
Locations
3785 Harrison Blvd
Ste 1
Ogden, UT 84403
Phone (801) 621-2116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6826055 | UT | Yes |
Addresses
Primary practice location
3785 Harrison Blvd
Suite 1
Ogden, UT 84403-2071
Mailing address
3785 Harrison Blvd
Suite 1
Ogden, UT 84403-2071
Phone (801) 621-2116
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All providers in Ogden, 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 Feb 8, 2012. 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.