Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALD PARKER POULSEN, D.D.S.
Active Sole ProprietorDR. GERALD PARKER POULSEN, D.D.S. is a Orthodontics healthcare provider located in TAYLORSVILLE, Utah. NPI 1164580197 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1164580197
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.648820294163 yrs)
- Last Updated
- Jul 8, 2007
- License
-
131024-9921 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3105 W 5400 STAYLORSVILLE, UT, 841182200Browse UT providers · Browse ZIP 84118
- Phone
- 8019696236
- Fax
- 8019664572
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in TAYLORSVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| DR. MARK THEODORE ENDRIZZI | D.D.S. | 1790776920 |
| BRIAN WILLIAM BAIRD | DDS, MS | 1104036557 |
| DR. JAMES WYLIE THOMAS | D.M.D. | 1073841268 |
| DR. MATTHEW BLAKE HILLSTEAD | D.D.S. | 1063709244 |
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.