Preston Hansen, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9924 Issued in UT

Practice address

7138 S Highland Dr
Suite #211
Salt Lake City, UT 84121-3757

Phone

(801) 251-7167

Fax

(801) 880-4559

NPI assigned

May 3, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preston G. Hansen, DDS, PLLC

  • Dental Clinic/Center
  • Salt Lake City, UT
  • NPI 1154947372
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1124310685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR",
            "address_2": "SUITE #211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-251-7167",
            "fax_number": "801-880-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR",
            "address_2": "SUITE #211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-251-7167",
            "fax_number": "801-880-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "PRESTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60916",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30862",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natessa Hansen
• Nicolette Carly Hansen, APRN, BSN, RN
• Pamela Ann Hansen, MD
• Peter Douglas Hansen
• Phillip V Hansen
• Robert P Hansen Jr., M.D.
• Samantha Ann Hansen
• Sara Theo Hansen, LCSW
• Savannah Hansen, PHARMD
• Sharon Hansen

• All providers in Salt Lake City, UT
• Oral and Maxillofacial Surgery (Dentist) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.