Preston G. Hansen, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRESTON G. HANSEN, DDS, PLLC

Practice address

7138 S Highland Dr Ste 211
Salt Lake City, UT 84121-3787

Phone

(801) 251-7167

Fax

(801) 880-4559

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Preston Hansen, DDSNPI 1124310685

Title

Owner

Phone

(801) 251-7167

Specialties & licenses 1

Addresses

Other names 1

• Identity Oral Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preston Hansen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Salt Lake City, UT
  • NPI 1124310685
  NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1154947372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR STE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213787",
            "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 STE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213787",
            "telephone_number": "801-251-7167",
            "fax_number": "801-880-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON G. HANSEN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-251-7167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Identity Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole M Preseau
• Presidium Medical Group PLLC
• Emily Pressler
• John E Presson
• Christopher Prestel, M.D.
• Bart R Preston, CRNA
• Felicia Preston
• James M Preston, LCSW
• Jared M Preston, D.C.
• Riley Preston

• Dental Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.