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Search › Utah › 122300000X

Douglas Hansen, DMD

NPI 1851792683 · on the registry since 2014

Practice

Address
1256 S State St
Orem, UT 84097
Phone
(801) 607-5024
Organisation at this address
John Green Dentistry Pc
Mountain Ridge Dental, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-22

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