KYLE S CHRISTENSEN, DDS, PC; NPI #1669662425

Contact Information

KYLE S CHRISTENSEN, DDS, PC

1268 W SOUTH JORDAN PKWY
SUITE 200
SOUTH JORDAN, UT 84095-4652

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

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

NPI # 1669662425

LBN Legal business name KYLE S CHRISTENSEN, DDS, PC

Authorized official KYLE CHRISTENSEN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/27/2007

Last updated 07/27/2007 - About 19 years ago

Identifiers

Medicaid

550719194003

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KYLE S CHRISTENSEN, DDS, PC

Contact Information

Specialty

Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery

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

Reviews for KYLE S CHRISTENSEN, DDS, PC