Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
DR. GREG A. ROBERTS P.C.
Active
Organization
DR. GREG A. ROBERTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG A ROBERTS DDS (ORAL & MAXILLOFACIAL SURGEON)
(801) 479-9070
Entity
Organization
Contact information
Practice address
5742 S 1475 E STE 100, OGDEN, UT 84403-4857
(801) 479-9070
(801) 479-9078
Mailing address
5742 S 1475 E STE 100, OGDEN, UT 84403-4857
(801) 479-9070
(801) 479-9078
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1451579924
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356358535
INDIVIDUAL NPI TYPE 1
—
05
—
529989109028
—
UT
Enumeration date
01/04/2008
Last updated
01/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up