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Contact Information

WHITE PINE ENDODONTICS PC
169 N GATEWAY DR STE 200
PROVIDENCE, UT84332-9516
 Phone: 435-760-4346
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for WHITE PINE ENDODONTICS PC

NPI # 1457874059
LBN Legal business name WHITE PINE ENDODONTICS PC
Authorized official JORDAN HANSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2017
Last updated 07/25/2017 - About 9 years ago
Identifiers
UT License # 8362186-9922
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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