Taylor Paul Ericksen, D.M.D.

Dentist · South Ogden, UT

Individual Active NPI

NPI number 1326423872

Practice location

5974 Fashion Point Dr
South Ogden, UT 84403
Phone
(801) 475-6121
Fax
(801) 475-4797

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NPI record

NPI
1326423872
Entity type
Individual (Type 1)
Enumeration date
July 27, 2015
Last updated
June 10, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 10299296-9922 UT
Dentist 122300000X 019030302 IL
General Practice Dentistry 1223G0001X 019030302 IL

Mailing address

5974 Fashion Point Dr
South Ogden, UT 84403-4699
Phone
(801) 475-6121
Fax
(801) 475-4797

Other practice locations (1)

  • 5974 Fashion Point Dr, South Ogden, UT 84403 · (801) 475-6121

About Dr. Ericksen

Taylor Paul Ericksen, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5974 Fashion Point Dr, South Ogden, UT 84403. The NPI number 1326423872 was assigned on July 27, 2015 and the record was last updated on June 10, 2019.

Dr. Ericksen lists 3 licenses in the registry: #10299296-9922 (UT) for Dentist; #019030302 (IL) for Dentist; #019030302 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Taylor Paul Ericksen, D.M.D.?

The NPI number is 1326423872.

What is the phone number of Dr. Ericksen?

The phone number listed for the practice location is (801) 475-6121.

Where is Dr. Ericksen located?

5974 Fashion Point Dr, South Ogden, UT 84403.

What is the taxonomy code for Dr. Ericksen?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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