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Mark Habermeyer, DDS
NPI 1720095631 · on the registry since 2006
Practice
- Address
- 4115 Riverdale Rd Ste B
Riverdale, UT 84405 - Phone
- (801) 940-5555
- Organisation at this address
- Eye Pros Of Ogden
Access Professional Dental Care,LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- UT, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah