Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. R. BLAKE NIELSEN, D.M.D

Active

DR. R. BLAKE NIELSEN, D.M.D is a Endodontics healthcare provider located in SALT LAKE CITY, Utah. NPI 1619030095 is currently active in the NPPES registry. Verify at CMS.

Endodontics · SALT LAKE CITY, UT

Registration Details

NPI Number: 1619030095
Provider Type: Individual
Gender: Male
NPI Issued: Dec 18, 2006 (19.615208384633 yrs)
Last Updated: Jul 8, 2007
License: 90-0144898-9922 (UT)

Practice Information

Address: 1434 E 4500 S

SUITE #201

SALT LAKE CITY, UT, 841174250
Browse UT providers · Browse ZIP 84117
Phone: 8012725800
Fax: 8012725897
Primary Specialty: Endodontics
1223E0200X

Other Endodontics Providers in SALT LAKE CITY, UT

Name	Credential	NPI
DR. DANIELLE PAIGE WINGROVE	DDS	1053312595
DR. ROBERT S. RICHARDS	D.D.S.	1497856868
DR. MITCHELL G RUDD	DDS	1124111323
DR. JOHN MITCHELL COATS	DDS	1689733677
DR. RANDALL MADSEN	DDS	1447310925
DR. MATTHEW J PARKIN	D.D.S.	1760545156

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.