IndividualActive
Christian Nielsen, D.D.S.
NPI 1114014784 · Periodontics · Salt Lake City, UT
Provider details
- NPI number
- 1114014784
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 5106346 (UT)
Practice location
1955 S 1300 E Ste 3
Salt Lake City, UT 84105-3683
Phone: (801) 487-5807
Fax: (801) 487-3438
Mailing address
2140 Berkeley St
Salt Lake City, UT 84109-1113
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.