Individual Healthcare Provider
Gregory Shane Jessen, DDS
Provider's NPPES record last updated: October 17, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1548349251
- Primary Specialty
- Dentist — Oral and Maxillofacial Surgery
- Practice Location
- Ogden, Utah
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:02 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Oral and Maxillofacial Surgery
Dental Providers
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.
Taxonomy code 1223S0112X Dentist
Dental Anesthesiology
Dental Providers
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.
Taxonomy code 1223D0004XDentist
Oral and Maxillofacial Pathology
Dental Providers
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.
Taxonomy code 1223P0106X
Provider-Reported License Information
- Dentist (Utah)
- 5219929-9924
- Dentist (Utah)
- 5219929-9924
- Dentist (Utah)
- 52199299924
Practice Locations
Practice Location
1508 E Skyline Dr Ste 800
Ogden, Utah 84405-4889
Phone: (801) 479-8200
Record Information
- Enumeration Date
- November 3, 2006
- Provider's NPPES Record Last Updated
- October 17, 2023
- Certification Date
- October 17, 2023
- NPISignal NPPES Dataset
- August 2026
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