OrganizationActive
South Ogen Pdc PLLC
NPI 1649894486 · General Practice Dentistry · Ogden, UT
South Ogen Pdc PLLC is a General Practice Dentistry organization in Ogden, UT (NPI 1649894486).
Provider details
- NPI number
- 1649894486
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Warner, Credentialing Manager(801) 691-1701
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5300 Adams Ave Pkwy
Ogden, UT 84405-6902
Phone: (801) 476-1234
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 970328
Orem, UT 84097-0309
Registry dates
- Enumerated
- 2020-06-06
- Last updated
- 2020-06-06
- Certified
- 2020-06-06
Frequently asked questions
- What is South Ogen Pdc PLLC's NPI number?
- South Ogen Pdc PLLC's National Provider Identifier (NPI) is 1649894486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Ogen Pdc PLLC?
- South Ogen Pdc PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is South Ogen Pdc PLLC located?
- South Ogen Pdc PLLC's practice location on file with NPPES is 5300 Adams Ave Pkwy, Ogden, UT 84405-6902.
- What is South Ogen Pdc PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Ogen Pdc PLLC is (801) 476-1234.
- Who is the authorized official for South Ogen Pdc PLLC?
- The authorized official listed on South Ogen Pdc PLLC's NPPES record is Jacob Warner, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Ogen Pdc PLLC's NPI active?
- Yes — South Ogen Pdc PLLC's NPI (1649894486) is active in the NPPES registry as of the last update on 2020-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.