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

Ethan J Groen, DMD

Individual provider Dentist · NPI 1811827074

Ethan J Groen, DMD is a Dentist in Logan, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

167 E 200 N Ste 3
Logan, UT 84321-4049
Phone: (435) 363-3584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14290602-9923 (UT)

Record details

NPI number1811827074
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 20, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address265 S 375 W, Providence, UT 84332-9308

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