Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Ogden Pdc PLLC

Organization Dentist · NPI 1417773995

East Ogden Pdc PLLC is a Dentist in Ogden, Utah. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1220 33rd St Ste C
Ogden, UT 84403-1380
Phone: (801) 394-4519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1417773995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Christensen — Credentialing Specialist · (801) 305-3460
NPI enumeratedNovember 29, 2024
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024
Mailing address355 S 520 W Ste 250, Lindon, UT 84042-1976

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