David H Geddes DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

133490 Issued in UT

Legal business name

DAVID H GEDDES DDS PC

Practice address

1220 33Rd St
Suite C
Ogden, UT 84403-1378

Phone

(801) 394-4519

Fax

(801) 394-4551

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David H Geddes, D.D.S.

Title

Dentist

Phone

(801) 394-4519

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912030776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 33RD ST",
            "address_2": "SUITE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031378",
            "telephone_number": "801-394-4519",
            "fax_number": "801-394-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 33RD ST",
            "address_2": "SUITE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031378",
            "telephone_number": "801-394-4519",
            "fax_number": "801-394-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H GEDDES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEDDES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-394-4519",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "133490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519503999006",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ogden, UT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.