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

Dr. Gregory Shane Jessen, DDS

Individual provider Dental Anesthesiology · NPI 1548349251

Dr. Gregory Shane Jessen, DDS is a Maxillofacial Surgery in Ogden, Utah. Graduated from Virginia Commonwealth Univ School of Dentistry in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
27
Trained at
Virginia Commonwealth Univ School of Dentistry
Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1508 E Skyline Dr Ste 800
Ogden, UT 84405-4889
Phone: (801) 479-8200
Fax: (801) 479-3219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 5219929-9924 (UT)
Dental Anesthesiology Taxonomy 1223D0004X · Licence 5219929-9924 (UT)
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X · Licence 52199299924 (UT)

Record details

NPI number1548349251
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address1508 E Skyline Dr Ste 800, Ogden, UT 84405-4889

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolVIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount