IndividualActive
Celeste Mortenson, DDS
NPI 1972734515 · Dentist · Providence, UT
Provider details
- NPI number
- 1972734515
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7364168-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
202 N Gateway Dr
Providence, UT 84332-9001
Phone: (435) 752-0605
Fax: (435) 755-8574
Approximate (ZIP-level) locationGet directions
Mailing address
202 N Gateway Dr
Providence, UT 84332-9001
Registry dates
- Enumerated
- 2009-07-30
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.