Keith J Poulsen in Salt Lake City - Pediatric Dentistry

Keith J Poulsen - NPI 1407970916

Keith J Poulsen is a Pediatric Dentistry in Salt Lake City, Utah. Keith J Poulsen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Keith J Poulsen is 1407970916. The last update date is 2007-07-08.

Keith J Poulsen's current location address is 7138 Highland Dr, Salt Lake City, Utah. You can contact this provider via phone number 8019440668 and fax number 8019444482. The mailing address for Keith J Poulsen is 7138 Highland Dr, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith J Poulsen
Address 7138 Highland Dr, Salt Lake City, Utah
Phone Number 8019440668
Fax Number 8019444482
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1407970916
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7138 Highland Dr
City Salt Lake City
State Utah (UT)
Post Code 841213757
Phone Number 8019440668
Fax Number 8019444482

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 134901
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Keith J Poulsen

What is the unique identifier code issued to Keith J Poulsen by the Centers for Medicare & Medicaid Services?

The Keith J Poulsen has been assigned the NPI (National Provider Identifier) 1407970916. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Keith J Poulsen is located?

The Keith J Poulsen is situated at the following address: 7138 Highland Dr, Salt Lake City, UT, 841213757.

What is Keith J Poulsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Keith J Poulsen is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

On what date did Keith J Poulsen receive its 1407970916 assignment from the Centers for Medicare & Medicaid Services?

The Keith J Poulsen was assigned its 1407970916 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Keith J Poulsen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Keith J Poulsen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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