Schweppe Pediatric Dental

LBN: Schweppe Pediatric Dental
Schweppe Pediatric Dental is an health care organization with primary practice located at 5685 S 1475 E Ste 3A , South Ogden UT 84403-4598. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Schweppe Pediatric Dental can be contacted via phone (801) 479-9220, or through Schweppe, Mathew D via phone (801) 479-9220.

Contact Information

Primary practice address
5685 S 1475 E Ste 3A South Ogden UT 84403-4598
Phone: (801) 479-9220
Fax: (801) 479-0837
Website:
Map and Directions
Authorized official contact:
Name: Schweppe, Mathew D Doctor of Dental Surgery (DDS)
Phone: (801) 479-9220

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1710545769
LBN Legal business name Schweppe Pediatric Dental
DBA Doing business as
Authorized official Schweppe, Mathew D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2019
Last updated Jun 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710545769 NPPES
Wyoming MEDICAID 1141007-00
Wyoming MEDICAID 517747532013

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