Individual provider · Type 1 NPI

Gerald Parker Poulsen, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Taylorsville, UT

NPI number 1164580197 Active

Practice location

3105 W 5400 S
Taylorsville, UT 84118-2200

Fax (801) 966-4572

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X131024-9921 (UT)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1164580197

Gerald Parker Poulsen, DDS's National Provider Identifier is 1164580197, issued on Dec 4, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Taylorsville, UT. The record was last updated on Jul 8, 2007.