Hansen, Jordan Joseph

Hansen, Jordan Joseph is an sole proprietor health care provider with primary practice located at 169 N Gateway Drive Suite 200, Providence UT 84332. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Endodontics is his primary health care specialty. Hansen, Jordan Joseph can be contacted via phone (435) 241-7707.

Contact Information

Primary practice address
169 N Gateway Drive Suite 200 Providence UT 84332
Phone: (435) 241-7707
Fax: (435) 514-6983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 8362186-9922 Utah
Dental Providers / Dentist 122300000X 8362186-9921 Utah

Profile Details

NPI number 1285981530
LBN Legal business name Hansen, Jordan Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2012
Last updated Oct 24th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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