Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON J CHRISTENSEN, DDS
ActiveDR. GORDON J CHRISTENSEN, DDS is a Pediatric Dentistry healthcare provider located in PROVO, Utah. NPI 1083788210 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PROVO, UT
Registration Details
- NPI Number
- 1083788210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.742154091646 yrs)
- Last Updated
- Jul 8, 2007
- License
-
137010-9921 (UT)
Practice Information
- Address
-
3707 N CANYON RDSUITE 3APROVO, UT, 846044592Browse UT providers · Browse ZIP 84604
- Phone
- 8012265315
- Fax
- 8012268637
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.