IndividualActive
Nadine Nicholas
NPI 1619718798 · Dental Hygienist · South Jordan, UT
Provider details
- NPI number
- 1619718798
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13771013-9920 (UT)
Specialties & taxonomies
Dental Providers
Practice location
10435 S 2200 W
South Jordan, UT 84095-8397
Phone: (801) 363-5652
Approximate (ZIP-level) locationGet directions
Mailing address
655 S 1000 W Apt 4
Salt Lake City, UT 84104-1378
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2024-06-04
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.