National Provider Identifier Database

KYLE S CHRISTENSEN DDS PC
Oral & Maxillofacial Surgery


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
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for KYLE S CHRISTENSEN, DDS, PC

NPI Number 1669662425
Legal business name
LBN
KYLE S CHRISTENSEN, DDS, PC
Authorized official KYLE CHRISTENSEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/27/2007
Last updated 07/27/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • UT Medicaid: 550719194003

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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