Stephen L. Ericksen, DMD

Dentist · American Fork, UT

Individual Active NPI

NPI number 1194807156

Practice location

895 N 900 E
American Fork, UT 84003-9183
Phone
(801) 763-4164

Open in Google Maps

NPI record

NPI
1194807156
Entity type
Individual (Type 1)
Enumeration date
October 19, 2006
Last updated
May 24, 2023
Certified
May 24, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 5314850-9922 UT
Dentist 122300000X DEND1161 AK

Other practice locations (1)

  • 1355 N University Ave Ste 320, Provo, UT 84604-2721 · (801) 375-1750

About Dr. Ericksen

Stephen L. Ericksen, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 895 N 900 E, American Fork, UT 84003-9183. The NPI number 1194807156 was assigned on October 19, 2006 and the record was last updated on May 24, 2023.

Dr. Ericksen lists 2 licenses in the registry: #5314850-9922 (UT) for Dentist; #DEND1161 (AK) 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 Stephen L. Ericksen, DMD?

The NPI number is 1194807156.

What is the phone number of Dr. Ericksen?

The phone number listed for the practice location is (801) 763-4164.

Where is Dr. Ericksen located?

895 N 900 E, American Fork, UT 84003-9183.

What is the taxonomy code for Dr. Ericksen?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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 American Fork

All Dentist providers in American Fork, UT →