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Search › Utah › 1223E0200X

Jordan Hansen, DDS

NPI 1285981530 · on the registry since 2012 · sole proprietor

Practice

Address
169 N Gateway Drive
Suite 200
Providence, UT 84332
Phone
(435) 241-7707
Fax
(435) 514-6983
Organisation at this address
Moserti Llc
Providence Pdc Pllc
Angel Home Hospice Llc
White Pine Endodontics Pc
Sierra Chiropractic, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
122300000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah