Christensen, Brett Kendall

Christensen, Brett Kendall is an individual health care provider with primary practice located at 368 E Riverside Dr Ste 6 , St George UT 84790. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Christensen, Brett Kendall can be contacted via phone (435) 688-8827.

Contact Information

Primary practice address
368 E Riverside Dr Ste 6 St George UT 84790
Phone: (435) 688-8827
Fax: (435) 688-8826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 53361539923 Utah
Dental Providers / Dentist 122300000X 5336153-9923 Utah

Profile Details

NPI number 1073627295
LBN Legal business name Christensen, Brett Kendall
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Dec 10th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073627295 NPPES
Other 83041 PEHP
MEDICAID 100506180 PEHP
Other 1759539 PEHP
Other 53361539902001 PEHP
MEDICAID 937807 PEHP

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