Provider Demographics
NPI:1467487678
Name:CLARK B. RAMPTON, D.D.S., P.C.
Entity Type:Organization
Organization Name:CLARK B. RAMPTON, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARK
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-546-0892
Mailing Address - Street 1:95 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1922
Mailing Address - Country:US
Mailing Address - Phone:801-546-0892
Mailing Address - Fax:801-546-2066
Practice Address - Street 1:95 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1922
Practice Address - Country:US
Practice Address - Phone:801-546-0892
Practice Address - Fax:801-546-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT139491-99211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty