Provider Demographics
NPI:1548654494
Name:STEVEN S CHRISTENSEN, DDS, PC
Entity type:Organization
Organization Name:STEVEN S CHRISTENSEN, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-444-9090
Mailing Address - Street 1:700 N FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-2728
Mailing Address - Country:US
Mailing Address - Phone:801-444-9090
Mailing Address - Fax:801-546-5386
Practice Address - Street 1:700 N FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-2728
Practice Address - Country:US
Practice Address - Phone:801-444-9090
Practice Address - Fax:801-546-5386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty