Dr. Christian Andre Nielsen
Periodontist
1955 S 1300 E Ste 3
Salt Lake City
, Utah 84105-3683
Dr. Christian Andre Nielsen
Periodontist
1955 S 1300 E Ste 3
Salt Lake City
, Utah 84105-3683
(801) 486-3151
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Christian Andre Nielsen
- 2140 Berkeley St
- Salt Lake City, UT
- Zip : 84109-1113
- Phone : (801) 486-3151
Second Address
- Dr. Christian Andre Nielsen
- 1955 S 1300 E Ste 3
- Salt Lake City, UT
- Zip : 84105-3683
- Fax : (801) 487-3438
- Phone : (801) 487-5807
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 5106346 | UT |
National Provider Identifier
| NPI | 1114014784 |
|---|---|
| Provider Name | Dr. Christian Andre Nielsen |
| First Address | Salt Lake City, UT 84109-1113 |
| Second Address | Salt Lake City, UT 84105-3683 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.