Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN JOSEPH HANSEN, DDS
Active Sole ProprietorDR. JORDAN JOSEPH HANSEN, DDS is a Endodontics healthcare provider located in PROVIDENCE, Utah. NPI 1285981530 is currently active in the NPPES registry. Verify at CMS.
Endodontics · PROVIDENCE, UT
Registration Details
- NPI Number
- 1285981530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2012 (13.987889442098 yrs)
- Last Updated
- Oct 24, 2018
- Licenses
-
8362186-9922 (UT)8362186-9921 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
169 N GATEWAY DRIVESUITE 200PROVIDENCE, UT, 84332Browse UT providers · Browse ZIP 84332
- Phone
- 4352417707
- Fax
- 4355146983
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Dentist
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.