Poulsen, Gerald Parker

Poulsen, Gerald Parker is an sole proprietor health care provider with primary practice located at 3105 W 5400 S , Taylorsville UT 84118-2200. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Poulsen, Gerald Parker can be contacted via phone (801) 969-6236.

Contact Information

Primary practice address
3105 W 5400 S Taylorsville UT 84118-2200
Fax: (801) 966-4572
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 131024-9921 Utah

Profile Details

NPI number 1164580197
LBN Legal business name Poulsen, Gerald Parker
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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