M L Christensen DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

139732-9922 Issued in UT

Legal business name

M L CHRISTENSEN DDS PC

Practice address

166 E 5900 S
Suite B101
Murray, UT 84107-7257

Phone

(801) 262-1974

Fax

(801) 263-2064

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Mark Lynnwood Christensen, DDSNPI 1689749061

Title

Owner

Phone

(801) 262-1974

Specialties & licenses 1

Addresses

Other names 1

• Mark L Christensen DDS and Associates Doing business as

Locations

Practitioners 1

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

• Mark L Christensen, DDS

  • General Practice Dentistry
  • Murray, UT
  • NPI 1689749061
  NPD (past) Authorized official

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1861848673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E 5900 S",
            "address_2": "SUITE B101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077257",
            "telephone_number": "801-262-1974",
            "fax_number": "801-263-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 5900 S",
            "address_2": "SUITE B101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077257",
            "telephone_number": "801-262-1974",
            "fax_number": "801-263-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M L CHRISTENSEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LYNNWOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-262-1974",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "139732-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark L Christensen DDS and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Murray, UT
• Providers in Murray, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.