Jacob Marlan Haslam, DDS

General Practice Dentistry · Ogden, UT

Individual Active NPI

NPI number 1356969307

Practice location

448 E 5350 S Ste C
Ogden, UT 84405-5415
Phone
(801) 479-1700

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NPI record

NPI
1356969307
Entity type
Individual (Type 1)
Enumeration date
July 7, 2020
Last updated
July 7, 2020
Certified
July 7, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11747165-9922 UT

Mailing address

448 E 5350 S
Ogden, UT 84405-5414
Phone
(801) 479-1700

About Dr. Haslam

Jacob Marlan Haslam, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 448 E 5350 S Ste C, Ogden, UT 84405-5415. The NPI number 1356969307 was assigned on July 7, 2020 and the record was last updated on July 7, 2020.

Dr. Haslam lists a license in the registry: #11747165-9922 (UT) 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 Jacob Marlan Haslam, DDS?

The NPI number is 1356969307.

What is the phone number of Dr. Haslam?

The phone number listed for the practice location is (801) 479-1700.

Where is Dr. Haslam located?

448 E 5350 S Ste C, Ogden, UT 84405-5415.

What is the taxonomy code for Dr. Haslam?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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