Dr. Stephen Johansen, D.D.S., PC
Dentist, General Practice in Sandy, UT. Individual provider (NPI-1).
NPI number1861685752
StatusActive
Last updated in NPPESAug 23, 2007
Details
- NPI
- 1861685752
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen Johansen
- Credential
- D.D.S., PC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2007
- Last updated
- Aug 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 870681797 | UT | Yes |
Practice location
7370 Creek Rd Ste 202Sandy, UT 84093-6113
Phone 801-676-1234 · Fax 801-676-5678
Mailing address
7370 Creek Rd Ste 202Sandy, UT 84093-6113
Phone 801-676-1234 · Fax 801-676-5678
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