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Dr. Gregory Shane Jessen, DDS
Oral and Maxillofacial Surgery (Dentist) in Ogden, Utah
NPI 1548349251

Gregory Shane Jessen is a Oral and Maxillofacial Surgery (Dentist) based in Ogden, UT and is specialized in Oral and Maxillofacial Surgery. Gregory Shane Jessen practices in Ogden, UT and has the professional credentials of DDS. The NPI Number for Gregory Shane Jessen is 1548349251 and holds a License No. 5219929-9924 (Utah).

The current practice location address for Gregory Shane Jessen is 1508 E Skyline Dr Ste 800, Ogden, UT and can be reached out via phone at 801-479-8200 and via fax at 801-479-3219. You can also correspond with Gregory Shane Jessen through the mailing address at 1508 E SKYLINE DR STE 800, OGDEN, UT - 84405-4889 (mailing address contact number: 801-479-8200).

Location: 1508 E Skyline Dr Ste 800, Ogden, UT, 84405-4889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548349251
Provider Name
Gregory Shane Jessen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1508 E Skyline Dr Ste 800, Ogden, UT, 84405-4889
Phone Number
801-479-8200
Fax Number
801-479-3219
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1508 E Skyline Dr Ste 800
City
Ogden
State
Utah
Zip
84405-4889
Phone Number
801-479-8200
Fax Number
801-479-3219
person
Provider Business Mailing Address Details
Address
1508 E Skyline Dr Ste 800
City
Ogden
State
Utah
Zip
84405-4889
Phone Number
801-479-8200
Fax Number
801-479-3219
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
5219929-9924 (Utah)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Pathology
Taxonomy
1223P0106X
License No.
52199299924 (Utah)
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 diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5219929-9924 (Utah)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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