R. Blake Nielsen in Salt Lake City - Endodontics
R. Blake Nielsen - NPI 1619030095
R. Blake Nielsen is a Endodontics in Salt Lake City, Utah. R. Blake Nielsen practices all healthcare services and medical treatments related to Endodontics. The NPI Number for R. Blake Nielsen is 1619030095. The last update date is 2007-07-08.
R. Blake Nielsen's current location address is 1434 E 4500 S, Salt Lake City, Utah. You can contact this provider via phone number 8012725800 and fax number 8012725897. The mailing address for R. Blake Nielsen is 1434 E 4500 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | R. Blake Nielsen |
|---|---|
| Address | 1434 E 4500 S, Salt Lake City, Utah |
| Phone Number | 8012725800 |
| Fax Number | 8012725897 |
| Sole Proprietor | N |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1619030095 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1434 E 4500 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841174250 |
| Phone Number | 8012725800 |
| Fax Number | 8012725897 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 90-0144898-9 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Post Comment/ Review Below
What is the R. Blake Nielsen's unique identification number?
The R. Blake Nielsen has been assigned the NPI (National Provider Identifier) Number 1619030095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the R. Blake Nielsen's physical address?
The R. Blake Nielsen is physically located at 1434 E 4500 S, in the city of Salt Lake City, UT, with the postal code 841174250.
What is R. Blake Nielsen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for R. Blake Nielsen is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.
On what date did R. Blake Nielsen receive its 1619030095 assignment from the Centers for Medicare & Medicaid Services?
The R. Blake Nielsen was assigned its 1619030095 on 2006-12-18, 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 pertaining to R. Blake Nielsen last refreshed?
The information related to the R. Blake Nielsen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1063415297
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