Daniel Stanford Poulson in Salt Lake City - Dentist
Daniel Stanford Poulson - NPI 1669590659
Daniel Stanford Poulson is a Dentist in Salt Lake City, Utah. Daniel Stanford Poulson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Daniel Stanford Poulson is 1669590659. The last update date is 2007-07-08.
Daniel Stanford Poulson's current location address is 2180 E 4500 S Ste 270, Salt Lake City, Utah. You can contact this provider via phone number 8012788481 and fax number 8012783357. The mailing address for Daniel Stanford Poulson is 2180 E 4500 S Ste 270, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Stanford Poulson |
|---|---|
| Address | 2180 E 4500 S Ste 270, Salt Lake City, Utah |
| Phone Number | 8012788481 |
| Fax Number | 8012783357 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1669590659 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2180 E 4500 S Ste 270 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841174023 |
| Phone Number | 8012788481 |
| Fax Number | 8012783357 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 136941-9922 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Daniel Stanford Poulson by the Centers for Medicare & Medicaid Services?
The Daniel Stanford Poulson has been issued the NPI (National Provider Identifier) 1669590659 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Daniel Stanford Poulson is geographically located?
The Daniel Stanford Poulson is physically situated at the following location: 2180 E 4500 S Ste 270, Salt Lake City, UT, 841174023.
What is the Daniel Stanford Poulson's specialty and taxonomy code?
The Daniel Stanford Poulson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Daniel Stanford Poulson receive its 1669590659 assignment from the Centers for Medicare & Medicaid Services?
The Daniel Stanford Poulson was assigned its 1669590659 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Daniel Stanford Poulson most recently updated or revised?
The information pertaining to Daniel Stanford Poulson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.