Mt. Ogden Dental Clinic, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5145132-9922 Issued in UT

Legal business name

MT. OGDEN DENTAL CLINIC, INC.

Practice address

1220 33Rd St Ste B
Ogden, UT 84403-1381

Phone

(801) 394-4415

Fax

(801) 394-3212

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Cook Geddes, D.M.D.NPI 1568543734

Title

Dentist

Phone

(801) 394-4415

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Cook Geddes, D.M.D.

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1568543734
  NPD (past) Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1972783017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 33RD ST STE B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031381",
            "telephone_number": "801-394-4415",
            "fax_number": "801-394-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 33RD ST STE B",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031381",
            "telephone_number": "801-394-4415",
            "fax_number": "801-394-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. OGDEN DENTAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GEDDES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "COOK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-394-4415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5145132-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moyes Iverson Dental LLC
• Brett K. Moyes, D.D.S.
• Mt Ogden Anesthesia Group LLC
• Mt Ogden Eye Center LLC
• Mt Ogden Utah Surgical Center LLC
• Mt. Ogden Surgical Center LLC
• Kody Call Mund, DMD
• Britney Leigh Munday, NP
• Benjamin Munk
• Tava Muranaka

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.