Organization
OGDEN FAMILY DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W PLATT DDS (DR CO OWNER)
(515) 275-2250
Entity
Organization
Contact information
Practice address
237 W MULBERRY, OGDEN, IA 50212-0813
(515) 275-2250
(515) 275-2816
Mailing address
237 W MULBERRY, OGDEN, IA 50212-0813
(515) 275-2250
(515) 275-2816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DR JEFF GRAGG 08240
IA
122300000X
Dentist
DR MARK W PLATT 6772
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193672
—
IA
01
—
19367
WELLMARK BCBS
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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