Organization
SOUTH OGDEN SMILES, PC
Active
Parent organization
SOUTH OGDEN SMILES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH OGDEN SMILES, PC
Authorized official
PATRICK MCNEAL TANNER DMD (OWNER)
(801) 389-0053
Entity
Organization
Contact information
Practice address
5856 HARRISON BLVD STE B, SOUTH OGDEN, UT 84403-2117
(801) 475-7776
(801) 475-5865
Mailing address
5856 HARRISON BLVD STE B, SOUTH OGDEN, UT 84403-2117
(801) 475-7776
(801) 475-7776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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