Micah G. Mortensen in Salt Lake City - Orthodontics And Dentofacial Orthopedics
Micah G. Mortensen - NPI 1891857579
Micah G. Mortensen is a Orthodontics And Dentofacial Orthopedics in Salt Lake City, Utah. Micah G. Mortensen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Micah G. Mortensen is 1891857579. The last update date is 2022-06-15.
Micah G. Mortensen's current location address is 6287 S Redwood Rd Ste 202, Salt Lake City, Utah. You can contact this provider via phone number 8012623777. The mailing address for Micah G. Mortensen is 6287 S Redwood Rd Ste 202, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Micah G. Mortensen |
|---|---|
| Address | 6287 S Redwood Rd Ste 202, Salt Lake City, Utah |
| Phone Number | 8012623777 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1891857579 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2022-06-15 |
Provider Mailing Address Detail
| Address | 6287 S Redwood Rd Ste 202 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841236655 |
| Phone Number | 8012623777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4726746-9921 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Micah G. Mortensen?
The Micah G. Mortensen has been issued the NPI (National Provider Identifier) 1891857579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Micah G. Mortensen is physically located?
The Micah G. Mortensen is situated at the following address: 6287 S Redwood Rd Ste 202, Salt Lake City, UT 841236655.
What is Micah G. Mortensen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Micah G. Mortensen's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
When did Micah G. Mortensen receive its 1891857579 assignment?
The Micah G. Mortensen was assigned its 1891857579 on 2006-12-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Micah G. Mortensen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Micah G. Mortensen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-15.