Mortensen, Micah G.
Mortensen, Micah G. is an sole proprietor health care provider with primary practice located at 6287 S Redwood Rd Ste 202 , Salt Lake City UT 84123-6655. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mortensen, Micah G. can be contacted via phone (801) 262-3777.Contact Information
Primary practice address
6287 S Redwood Rd Ste 202
Salt Lake City UT 84123-6655
Phone: (801) 262-3777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4726746-9921 | Utah |
Profile Details
| NPI number | 1891857579 |
|---|---|
| LBN Legal business name | Mortensen, Micah G. |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jun 15th, 2022 - about 3 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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