Individual
DR. MARK COOK GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1220 33RD ST STE B, OGDEN, UT 84403-1381
(801) 394-4415
(801) 394-3212
Mailing address
1220 33RD ST STE B, OGDEN, UT 84403-1381
(801) 394-4415
(801) 394-3212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5145132-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1426484
UNITED CONCORDIA
UT
Enumeration date
10/17/2006
Last updated
07/08/2007
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