DR. TREVOR MICHAEL JENSEN (NPI# 1073792776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073792776 |
| Entity Type | Individual |
| Full Name | DR. TREVOR MICHAEL JENSEN |
| Credential | D.D.S. |
| Practice Address |
2166 E 6630 S Cottonwood Heights UT 84121-2641 |
| Mailing Address |
100 N Medical Dr Salt Lake City UT 84113-1103 |
| Practice Telephone | 8019429593 |
| Mailing Telephone | 8016623900 |
| Mailing Fax Number | 8016623908 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
67634479922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043519382 | Trevor P Jensen | Internal Medicine | 251 Parnassus Ave Apt 1, San Francisco, CA 94117-3801 | 2011-03-25 |
| 1285188060 | Trevor Jensen | Hearing Instrument Specialist | 12211 E Broadway Ave, Ste. 4, Spokane Valley, WA 99206-6132 | 2016-08-09 |
| Street Address |
2166 E 6630 S |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84121-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963098 | White Peak Dental | Dentist | 6800 S Highland Dr Ste 100, Cottonwood Heights, UT 84121-3067 | 2019-10-11 |
| 1235404096 | Aaron Preston Roundy | Dentist | 7138 Highland Dr Ste 215, Cottonwood Heights, UT 84121-3784 | 2012-03-13 |
| 1700192721 | Cottonwood Dental Center | Dentist | 7050 So. Highland Dr., Suite 240, Cottonwood Heights, UT 84121-3761 | 2010-08-27 |
| 1396992699 | Kelly A Mangrum | Dentist | 7110 Highland Dr, Cottonwood Heights, UT 84121-3704 | 2008-08-19 |
| 1871749135 | John Perry Rich IIi | Dentist | 7086 S Highland Dr Ste 100, Cottonwood Heights, UT 84121-3768 | 2008-08-18 |
| 1528274180 | Ray E Dillman | Dentist | 2180 Fort Union Blvd, Cottonwood Heights, UT 84121-3148 | 2007-05-14 |
| 1669591970 | Curtis M Howa | Dentist | 6784 So. Highland Dr., Suite A, Cottonwood Heights, UT 84121 | 2007-03-28 |
| 1235243890 | Benjamin Campbell | Dentist | 6695 S 1300 E, Cottonwood Heights, UT 84121-2716 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625407 | Austin Keith Woodfield | Dentist | 1305 N Commerce Dr # 22, Saratoga Springs, UT 84045-5305 | 2020-09-29 |
| 1750992111 | Jennifer Lin Sorge | Dentist | 532 N Mallard Dr Unit A, Vineyard, UT 84059-6606 | 2020-08-11 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1679182612 | Liberty Mountain Dental LLC | Dentist | 6351 W 13400 S Ste 100, Herriman, UT 84096-5601 | 2020-07-27 |
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1043838840 | Jordan Sanger | Dentist | 6770 S 900 E Ste 301, Midvale, UT 84047-1761 | 2020-07-08 |
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1376167502 | Ashleigh Dearing | Dentist | 1652 N Blackhawk Dr, Saratoga Springs, UT 84045-5810 | 2020-06-03 |
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.