Jordan Joseph Hansen, DDS

Endodontics · Providence, UT

Individual Active NPI

NPI number 1285981530

Practice location

169 N Gateway Drive
Suite 200
Providence, UT 84332
Phone
(435) 241-7707
Fax
(435) 514-6983

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NPI record

NPI
1285981530
Entity type
Individual (Type 1)
Enumeration date
August 6, 2012
Last updated
October 24, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 8362186-9922 UT
Dentist 122300000X 8362186-9921 UT

About Dr. Hansen

Jordan Joseph Hansen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 169 N Gateway Drive, Suite 200, Providence, UT 84332. The NPI number 1285981530 was assigned on August 6, 2012 and the record was last updated on October 24, 2018.

Dr. Hansen lists 2 licenses in the registry: #8362186-9922 (UT) for Endodontics; #8362186-9921 (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 Jordan Joseph Hansen, DDS?

The NPI number is 1285981530.

What is the phone number of Dr. Hansen?

The phone number listed for the practice location is (435) 241-7707.

Where is Dr. Hansen located?

169 N Gateway Drive, Suite 200, Providence, UT 84332.

What is the taxonomy code for Dr. Hansen?

The primary taxonomy code is 1223E0200X – Endodontics; 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.

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