Kurt Ericksen, DMD

Dentist · Herriman, UT

Individual Active NPI

NPI number 1124683172

Practice location

5532 W Herriman Main St Ste 210
Herriman, UT 84096-5830
Phone
(801) 446-9533

Open in Google Maps

NPI record

NPI
1124683172
Entity type
Individual (Type 1)
Enumeration date
May 6, 2019
Last updated
May 6, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 11260485-9922 UT

Mailing address

2241 N Orchard Way
Saratoga Springs, UT 84045-3802
Phone
(406) 591-7279

About Dr. Ericksen

Kurt Ericksen, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5532 W Herriman Main St Ste 210, Herriman, UT 84096-5830. The NPI number 1124683172 was assigned on May 6, 2019 and the record was last updated on May 6, 2019.

Dr. Ericksen lists a license in the registry: #11260485-9922 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kurt Ericksen, DMD?

The NPI number is 1124683172.

What is the phone number of Dr. Ericksen?

The phone number listed for the practice location is (801) 446-9533.

Where is Dr. Ericksen located?

5532 W Herriman Main St Ste 210, Herriman, UT 84096-5830.

What is the taxonomy code for Dr. Ericksen?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Herriman

All Dentist providers in Herriman, UT →