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

South Ogen Pdc PLLC

Organization General Practice Dentistry · NPI 1649894486

South Ogen Pdc PLLC is a General Practice Dentistry in Ogden, Utah. Registered with an NPI since 2020.

In the registry since
2020
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

5300 Adams Ave Pkwy
Ogden, UT 84405-6902
Phone: (801) 476-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1649894486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Warner — Credentialing Manager · (801) 691-1701
NPI enumeratedJune 6, 2020
Last updated in NPPESJune 6, 2020
Certification dateJune 6, 2020
Mailing addressPo Box 970328, Orem, UT 84097-0309

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