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Contact Information

JORDAN J HANSEN, DDS
169 N GATEWAY DRIVE
SUITE 200
PROVIDENCE, UT84332
 Phone: 435-241-7707
 Fax: 435-514-6983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JORDAN J HANSEN · (Male)

NPI Number 1285981530
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/06/2012
Last updated 10/24/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 8362186-9921
  • UT License # 8362186-9922
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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