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Contact Information

KYLE S CHRISTENSEN, DDS, PC
1268 W SOUTH JORDAN PKWY
SUITE 200
SOUTH JORDAN, UT84095-4652
 Phone: 801-561-8088
 Fax: 801-562-8286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for KYLE S CHRISTENSEN DDS PC · (Female)

NPI # 1669662425
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2007
Last updated 07/27/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT Medicaid 550719194003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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