Superior Smiles Incorporated
Dentist, General Practice in South Ogden, UT. Organization (NPI-2).
NPI number1164038774
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1164038774
- Entity type
- Organization (NPI-2)
- Legal business name
- Superior Smiles Incorporated
- Organization subpart
- No
- Enumeration date
- Sep 18, 2020
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
5640 Wasatch Dr Ste ESouth Ogden, UT 84403-4993
Phone 801-682-0017
Mailing address
5640 Wasatch Dr Ste ESouth Ogden, UT 84403-4993
Authorized official
Alexander Michael Richens
Owner/Manager
7026290942
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Other General Practice Dentistry providers in South Ogden, UT
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- Mark V Cowley, DDSNPI 1821117474
- Clifford Donald Daines, D D SNPI 1407964513
- Jared Michael Ford, DDSNPI 1639003072
- Thomas C Johnston, DDSNPI 1184725137
- Brian D Miles, D.M.D.NPI 1639357254
- Carol H Naylor, DMDNPI 1699976506
- Scott B Nilson, DDS PCNPI 1740320860
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