Doctor Name: | DR. MATHEW SCHWEPPE |
NPI Number: | 1215964234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 143226-9923 |
Business Practice Address: | 5685 S 1475 E Suite 3a South Ogden, UT - 844034716 |
Business Phone Number: | 8014799220 |
Business Fax Number: | |
Mailing Address: | 1491 E 2525 N, NORTH OGDEN |
State: | UT |
Postal Code: | 844142504 |
Phone Number: | 8014799220 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 143226-9923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |