Jessen, Gregory Shane

Jessen, Gregory Shane is an individual health care provider with primary practice located at 1508 E Skyline Dr Ste 800 , Ogden UT 84405-4889. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Jessen, Gregory Shane can be contacted via phone (801) 479-8200.

Contact Information

Primary practice address
1508 E Skyline Dr Ste 800 Ogden UT 84405-4889
Phone: (801) 479-8200
Fax: (801) 479-3219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 5219929-9924 Utah
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 52199299924 Utah
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5219929-9924 Utah

Profile Details

NPI number 1548349251
LBN Legal business name Jessen, Gregory Shane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Oct 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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