Christian Andre Nielsen in Salt Lake City - Periodontics
Christian Andre Nielsen - NPI 1114014784
Christian Andre Nielsen is a Periodontics in Salt Lake City, Utah. Christian Andre Nielsen practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Christian Andre Nielsen is 1114014784. The last update date is 2007-07-08.
Christian Andre Nielsen's current location address is 1955 S 1300 E Ste 3, Salt Lake City, Utah. You can contact this provider via phone number 8014875807 and fax number 8014873438. The mailing address for Christian Andre Nielsen is 1955 S 1300 E Ste 3, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christian Andre Nielsen |
|---|---|
| Address | 1955 S 1300 E Ste 3, Salt Lake City, Utah |
| Phone Number | 8014875807 |
| Fax Number | 8014873438 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1114014784 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1955 S 1300 E Ste 3 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841053683 |
| Phone Number | 8014875807 |
| Fax Number | 8014873438 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5106346 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identification code assigned to Christian Andre Nielsen by the Centers for Medicare & Medicaid Services?
The Christian Andre Nielsen has been issued the NPI (National Provider Identifier) 1114014784. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Christian Andre Nielsen is physically located?
The Christian Andre Nielsen is physically situated at the following address: 1955 S 1300 E Ste 3, Salt Lake City, UT, 841053683.
What is the Christian Andre Nielsen's area of specialization and corresponding taxonomy classification?
The Christian Andre Nielsen's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Christian Andre Nielsen receive the assignment of its 1114014784 from the Centers for Medicare & Medicaid Services?
The Christian Andre Nielsen was issued its 1114014784 by the Centers for Medicare & Medicaid Services on 2006-10-06.
As of what date were the details pertaining to Christian Andre Nielsen last refreshed?
The information related to the Christian Andre Nielsen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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