Celeste C Mortenson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7364168-9922 Issued in UT

Practice address

202 N Gateway Dr
Providence, UT 84332-9001

Phone

(435) 752-0605

Fax

(435) 755-8574

NPI assigned

Jul 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Gateway Dental LLC

  • General Practice Dentistry
  • Providence, UT
  • NPI 1376035196
  NPD Authorized official

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1972734515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N GATEWAY DR",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329001",
            "telephone_number": "435-752-0605",
            "fax_number": "435-755-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N GATEWAY DR",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329001",
            "telephone_number": "435-752-0605",
            "fax_number": "435-755-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "CELESTE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "7364168-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lyn Miles, RBT
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• Matthew Stephen Morrell, PA-C
• Wesley S Mortensen, MD
• Moserti LLC (PeakRestore Wellness)
• Mount Logan Chiropractic Inc
• Mount Ogden Pain Medical Center
• Mountainstar Medical Group- Cache Valley, LLC (MountainStar Cache Valley Medical Group)
• Murdock Family Wellness, Inc (Murdock Family Chiropractic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.