| Marckaren, Inc | |
|
2251 N 400 E North Ogden UT 84414-7210 | |
| (801) 782-9544 | |
| (801) 786-0557 |
| Full Name | Marckaren, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2251 N 400 E, North Ogden, Utah |
| Authorized Official Name and Position | Marc Adam Collman (OWNER) |
| Authorized Official Contact | 8017829544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marckaren, Inc Po Box 13167 Ogden UT 84412-3167 Ph: (801) 782-9544 | Marckaren, Inc 2251 N 400 E North Ogden UT 84414-7210 Ph: (801) 782-9544 |
| NPI Number | 1811329956 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811329956 | NPI | - | NPPES |
| 528866301007 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 931439079922 (Utah) | Primary |
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