Provider Demographics
NPI:1215964234
Name:SCHWEPPE, MATHEW (DDS)
Entity type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:
Last Name:SCHWEPPE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1491 E 2525 N
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2504
Mailing Address - Country:US
Mailing Address - Phone:801-479-9220
Mailing Address - Fax:
Practice Address - Street 1:5685 S 1475 E
Practice Address - Street 2:SUITE 3A
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4716
Practice Address - Country:US
Practice Address - Phone:801-479-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT143226-99231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry