Gregory Shane Jessen in Ogden - Oral And Maxillofacial Pathology

Gregory Shane Jessen - NPI 1548349251

Gregory Shane Jessen is a Oral And Maxillofacial Pathology in Ogden, Utah. Gregory Shane Jessen practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Gregory Shane Jessen is 1548349251. The last update date is 2023-10-17.

Gregory Shane Jessen's current location address is 1508 E Skyline Dr Ste 800, Ogden, Utah. You can contact this provider via phone number 8014798200 and fax number 8014793219. The mailing address for Gregory Shane Jessen is 1508 E Skyline Dr Ste 800, Ogden, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Shane Jessen
Address 1508 E Skyline Dr Ste 800, Ogden, Utah
Phone Number 8014798200
Fax Number 8014793219
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1548349251
Provider Enumeration Date 2006-11-03
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 1508 E Skyline Dr Ste 800
City Ogden
State Utah (UT)
Post Code 844054889
Phone Number 8014798200
Fax Number 8014793219

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 52199299924
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Gregory Shane Jessen

What is the unique 10-digit identifier code assigned to Gregory Shane Jessen by the Centers for Medicare & Medicaid Services?

The Gregory Shane Jessen has been issued the NPI (National Provider Identifier) 1548349251 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Gregory Shane Jessen?

The Gregory Shane Jessen is physically situated at 1508 E Skyline Dr Ste 800, in the city of Ogden, state of UT, with the postal code 844054889.

What is Gregory Shane Jessen's area of expertise and its corresponding taxonomy classification?

The Gregory Shane Jessen's field of specialization is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1548349251 to Gregory Shane Jessen?

The Gregory Shane Jessen received its 1548349251 assignment from the Centers for Medicare & Medicaid Services on 2006-11-03.

As of what date was the information pertaining to Gregory Shane Jessen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gregory Shane Jessen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-17.

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