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 |
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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 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 7138 Highland Dr |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841213757 |
Phone Number | 8019440668 |
Fax Number | 8019444482 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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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. |
Post Comment/ Review Below
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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