IndividualActive
Braden Atkins, D.M.D.
NPI 1093093312 · Periodontics · West Valley City, UT
Provider details
- NPI number
- 1093093312
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9017911-9924 (UT)
Specialties & taxonomies
Dental Providers
Practice location
4645 S 4000 W Ste B
West Valley City, UT 84120-6250
Phone: (216) 264-6804
Approximate (ZIP-level) locationGet directions
Mailing address
617 W 1825 N
Centerville, UT 84014-3148
Registry dates
- Enumerated
- 2011-08-03
- Last updated
- 2021-04-05
- Certified
- 2021-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.