Ethan J Groen is a Logan, Utah based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan J Groen is
14290602-9923 for Dentistry in Utah. His current practice location is
167 E 200 N Ste 3, Logan. Patients can reach him at
435-363-3584.
Ethan J Groen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ethan J Groen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ethan J Groen |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 167 E 200 N Ste 3, Logan,
Utah, 84321-4049 |
| Phone: | 435-363-3584 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1811827074 |
| NPI Enumeration Date: | 20 May, 2026 |
| NPI Last Update On: | 04 Jun, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan J Groen are as mentioned below.
| License Number | Specialization | State | Status | |
| 14290602-9923 | Dentistry | Utah | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 265 S 375 W,
Providence, Utah |
| Zip: | 84332-9308 |
| Phone Number: | 385-630-3788 |
Patients can reach Ethan J Groen at
167 E 200 N Ste 3, Logan, Utah or can
call to book an appointment on 435-363-3584.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.