White Pine Endodontics PC
Endodontics · Providence, UT
Practice location
169 N Gateway Dr Ste 200Providence, UT 84332-9516
- Phone
- (435) 760-4346
NPI record
- NPI
- 1457874059
- Entity type
- Organization (Type 2)
- Enumeration date
- July 25, 2017
- Last updated
- July 25, 2017
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Endodontics Primary | 1223E0200X |
8362186-9922 | UT |
Authorized official
- Name
- Jordan Hansen, DDS
- Title
- President
- Phone
- (435) 760-4346
About White Pine Endodontics PC
White Pine Endodontics PC is a healthcare organization registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 169 N Gateway Dr Ste 200, Providence, UT 84332-9516. The NPI number 1457874059 was assigned on July 25, 2017 and the record was last updated on July 25, 2017.
White Pine Endodontics PC lists a license in the registry: #8362186-9922 (UT) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Jordan Hansen, DDS, President.
Frequently asked questions
What is the NPI number of White Pine Endodontics PC?
The NPI number is 1457874059.
What is the phone number of White Pine Endodontics PC?
The phone number listed for the practice location is (435) 760-4346.
Where is White Pine Endodontics PC located?
169 N Gateway Dr Ste 200, Providence, UT 84332-9516.
What is the taxonomy code for White Pine Endodontics PC?
The primary taxonomy code is 1223E0200X – Endodontics.
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 Endodontics providers in Providence
- Jordan Joseph Hansen, DDS169 N Gateway Drive