Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH J POULSEN, D.D.S
Active Sole ProprietorDR. KEITH J POULSEN, D.D.S is a Pediatric Dentistry healthcare provider located in SALT LAKE CITY, Utah. NPI 1407970916 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1407970916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.364115476363 yrs)
- Last Updated
- Jul 8, 2007
- License
-
134901 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7138 HIGHLAND DRSUITE 216SALT LAKE CITY, UT, 841213757Browse UT providers · Browse ZIP 84121
- Phone
- 8019440668
- Fax
- 8019444482
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. MITZI M ROSEL | DDS | 1184622565 |
| DR. VAL JOSEPH CHEEVER | DDS | 1982670568 |
| DR. BARNEY T OLSEN | D.D.S., M.S. | 1447299607 |
| JEFFERY K. RUPP | D.M.D., M.S. | 1720149453 |
| DEBBIE LEE GRAHAM | DDS | 1578612602 |
| DR. BRIANT STRINGHAM ROMNEY | D.D.S. | 1699891630 |
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.