# OGDEN FAMILY DENTAL PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528145976
- **Authorized official:** DR. MARK W PLATT DDS (DR CO OWNER)
- **Authorized official phone:** (515) 275-2250

## Contact information

- **Practice address:** 237 W MULBERRY, OGDEN, IA 50212-0813
- **Practice address phone:** (515) 275-2250
- **Practice address fax:** (515) 275-2816
- **Mailing address:** 237 W MULBERRY, OGDEN, IA 50212-0813
- **Mailing address phone:** (515) 275-2250
- **Mailing address fax:** (515) 275-2816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DR JEFF GRAGG 08240 | IA | Yes |
| 122300000X | Dentist | DR MARK W PLATT 6772 | IA | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0193672 | — | IA |
| 01 | — | 19367 | WELLMARK BCBS | IA |