IndividualActive
Daniel Thunell, DMD
NPI 1962615948 · Periodontics · Salt Lake City, UT
Provider details
- NPI number
- 1962615948
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 30206 (IA)
Specialties & taxonomies
Dental Providers
Practice location
4252 South Highland Dr.
Salt Lake City, UT 84124
Phone: (801) 272-4867
Approximate (ZIP-level) locationGet directions
Mailing address
4252 South Highland Dr.
Salt Lake City, UT 84124
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2008-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.