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Andrew Johansen, DDS — NPI 1346815164, Holladay, UT | NPI Central

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NPI 1346815164

IndividualActive

Andrew Johansen, DDS

NPI 1346815164 · Dentist · Holladay, UT

Provider details

NPI number: 1346815164
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 12317484-9923 (UT)

Specialties & taxonomies

DentistPrimary122300000XLicense 12317484-9923 (UT)
Dental Providers

Practice location

4970 S 900 E Ste B

Holladay, UT 84117-5798

Phone: (801) 261-2013

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

4970 S 900 E Ste B

Holladay, UT 84117-5798

Registry dates

Enumerated: 2021-05-24
Last updated: 2021-05-24
Certified: 2021-05-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.