Individual provider · Type 1 NPI

Keith J. Poulsen, D.D.S

Pediatric Dentistry · Salt Lake City, UT

NPI number 1407970916 Active

Practice location

7138 Highland Dr, Suite 216
Salt Lake City, UT 84121-3757

Call (801) 944-0668 Map

Fax (801) 944-4482

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X134901 (UT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5 other providers at this address

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About NPI 1407970916

Keith J. Poulsen, D.D.S's National Provider Identifier is 1407970916, issued on Mar 19, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.