Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508978826 Individual Practitioner Male Practitioner

Dr. Jeremy Grant Godderidge , DDS

Dentist - General Practice • Syracuse, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jeremy Godderidge, DDS is a registered healthcare professional specializing in Dentist - General Practice in Syracuse, UT. Practice services are available at 1792 W 1700 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1792 W 1700 S

Syracuse, UT 840759143

Telephone 8016985892

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Syracuse, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Syracuse, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 6250404-9922

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1114506441

Doctor of Medicine (M.D.)

NPI 1295733343

Doctor of Medicine (M.D.)

NPI 1538674056

Doctor of Medicine (M.D.)

Bellanca Wyers , FNP-BC

Nurse Practitioner - Family

NPI 1649864562

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2008

Registered at 1792 W 1700 S, SYRACUSE, UT 840759143 (Tel: 8016985892)

📍
Updated Business Mailing Address June 10, 2008

Registered at 1352 DORAL DR, SYRACUSE, UT 840759739 (Tel: 8017738579)

👤
Provider Name / Credentials Updated June 10, 2008

Recorded as JEREMY GODDERIDGE, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2008

Dentist (License #6250404-9922 in UT)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508978826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: June 10, 2008
Sole Proprietor: Yes

Mailing Address

1352 Doral Dr

Syracuse, UT 840759739

Phone: 8017738579

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.