Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICAH G. MORTENSEN, D.D.S., M.S.D.
Active Sole ProprietorDR. MICAH G. MORTENSEN, D.D.S., M.S.D. is a Orthodontics healthcare provider located in SALT LAKE CITY, Utah. NPI 1891857579 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1891857579
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2006 (19.618753973765 yrs)
- Last Updated
- Jun 15, 2022
- License
-
4726746-9921 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6287 S REDWOOD RD STE 202SALT LAKE CITY, UT, 841236655Browse UT providers · Browse ZIP 84123
- Phone
- 8012623777
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. MARK A NAISBITT | DDS, MS ORTHODONTICS | 1477524411 |
| DR. STEVEN WALLACE SPURRIER | DDS, MSD | 1417966581 |
| DR. R. GAYLE HOLMAN | D.D.S., M.S. | 1376621417 |
| MICHAEL F RICHARDS | DDS | 1689743254 |
| DR. BART L GOLDSBERRY | DDS | 1982777439 |
| DR. ALAN CHARLES JENSEN | DDS MS | 1659431526 |
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.