Individual provider · Type 1 NPI

Christian Andre Nielsen, DDS

Periodontics · Salt Lake City, UT

NPI number 1114014784 Active

Practice location

1955 S 1300 E Ste 3
Salt Lake City, UT 84105-3683

Call (801) 487-5807 Map

Fax (801) 487-3438

Mailing address

2140 Berkeley St
Salt Lake City, UT 84109-1113

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X5106346 (UT)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1114014784

Christian Andre Nielsen, DDS's National Provider Identifier is 1114014784, issued on Oct 6, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.