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General NPI Number Information
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NPI Number | 1407793102
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Entity Type | Organization
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Legal Business Name | MOUNTAINVIEW PERIODONTICS OGDEN LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1508 E SKYLINE DR STE 300
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City | SOUTH OGDEN
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State | UT
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Zip | 84405-4855
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Country | US
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Telephone | 385-888-7414
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Fax |
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Provider Business Mailing Address
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Address Line | 3397 N 1200 E STE 111
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City | LEHI
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State | UT
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Zip | 84043-3262
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Country | US
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Telephone | 801-766-6966
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. RACHANA HEGDE
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Credential | BDS MS DABP DABOI
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Telephone | 213-590-6771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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