Jeffrey Val Hansen, D.D.S.
Individual provider Active NPI General Practice Dentistry · Syracuse, UT
NPI 1275891731 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1275891731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 370824-9922 (UT)
- Practice address
- 1747 Heritage LN Ste B203
Syracuse, UT 84075-8532 - Phone
- (801) 525-1725
- Fax
- (801) 525-0988
- NPI assigned
- May 2, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 370824-9922 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Hansens Family Dentistry LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 370824-9922 | UT | Yes |
Addresses
Primary practice location
1747 Heritage LN Ste B203
Syracuse, UT 84075-8532
Mailing address
1747 Heritage LN Ste B203
Syracuse, UT 84075-8532
Phone (801) 525-1725
Other providers in Syracuse, UT
- Karina Gomez Perez
- Dawsen J Goodfellow
- William Green
- Samantha Gubler
- Curtis Lynn Hadley
- Chelsie Franque Harris
- Trudi Hazen
- Heritage Counseling, PLLC
- Heritage Dental Associates
- Heidi Sarinda Hiatt
All providers in Syracuse, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.