Individual
DR. BRYANT PAUL MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2201 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-7210
(801) 782-6681
Mailing address
1736 N 775 E, NORTH OGDEN, UT 84414-2966
(801) 458-8436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14225712
UT
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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