David L Christensen, D.D.S.

Individual provider Active NPI General Practice Dentistry · Holladay, UT

NPI 1265448153 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1265448153
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
131730 (UT)
Practice address
6065 Highland Dr
Suite 1
Holladay, UT 84121-1374
Phone
(801) 277-5181
Fax
(801) 277-6791
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
131730UTMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 131730 UT Yes

Addresses

Primary practice location

6065 Highland Dr
Suite 1
Holladay, UT 84121-1374

Mailing address

6065 Highland Dr
Suite 1
Holladay, UT 84121-1374
Phone (801) 277-5181

Other providers in Holladay, UT

All providers in Holladay, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.