Nielsen, R. Blake

Nielsen, R. Blake is an individual health care provider with primary practice located at 1434 E 4500 S Suite #201, Salt Lake City UT 84117-4250. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Nielsen, R. Blake can be contacted via phone (801) 272-5800.

Contact Information

Primary practice address
1434 E 4500 S Suite #201 Salt Lake City UT 84117-4250
Phone: (801) 272-5800
Fax: (801) 272-5897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 90-0144898-9922 Utah

Profile Details

NPI number 1619030095
LBN Legal business name Nielsen, R. Blake
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 17 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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