| Dr. Greg A. Roberts P.c. | |
|
5742 S 1475 E Ste 100 Ogden UT 84403-4857 | |
| (801) 479-9070 | |
| (801) 479-9078 |
| Full Name | Dr. Greg A. Roberts P.c. |
|---|---|
| Speciality | Dentist |
| Location | 5742 S 1475 E Ste 100, Ogden, Utah |
| Authorized Official Name and Position | Greg A Roberts (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8014799070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Greg A. Roberts P.c. 5742 S 1475 E Ste 100 Ogden UT 84403-4857 Ph: (801) 479-9070 | Dr. Greg A. Roberts P.c. 5742 S 1475 E Ste 100 Ogden UT 84403-4857 Ph: (801) 479-9070 |
| NPI Number | 1053596429 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 01/04/2008 |
| Medicare PECOS PAC ID | 9537052758 |
|---|---|
| Medicare Enrollment ID | O20040203000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053596429 | NPI | - | NPPES |
| 1356358535 | Other | INDIVIDUAL NPI TYPE 1 | |
| 529989109028 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1451579924 (Utah) | Primary |
| Provider Name | Greg A Roberts |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356358535 PECOS PAC ID: 3779476999 Enrollment ID: I20040204000040 |
| Provider Name | Shaun Thomas Heward |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366826224 PECOS PAC ID: 0648585026 Enrollment ID: I20210816001828 |
Eric G Russell Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5685 S 1475 E Ste 4a, Ogden, UT 84403 Phone: 801-475-4646 | |
James Healy Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 12th St, Ogden, UT 84404 Phone: 801-394-0808 Fax: 801-392-2176 | |
Wasatch Advanced Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Harrison Blvd Suite #1, Ogden, UT 84403 Phone: 801-621-4800 Fax: 801-340-9561 | |
Dr. Matthew Miller, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5742 S 1475 E Ste 100, Ogden, UT 84403 Phone: 801-392-2182 Fax: 801-393-5869 | |
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