Individual provider · Type 1 NPI

Preston Hansen, DDS

Oral and Maxillofacial Surgery (Dentist) · Salt Lake City, UT

NPI number 1124310685 Active

Practice location

7138 S Highland Dr, Suite #211
Salt Lake City, UT 84121-3757

Call (801) 251-7167 Map

Fax (801) 880-4559

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X60916 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X30862 (TX)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9924 (UT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1124310685

Preston Hansen, DDS's National Provider Identifier is 1124310685, issued on May 3, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 18, 2015.