GORDON J. CHRISTENSEN DDS PHD PC (NPI# 1841654126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841654126 |
| Entity Type | Organization |
| Organization Name | GORDON J. CHRISTENSEN DDS PHD PC |
| Practice Address |
3707 N Canyon Rd Suite 4 Provo UT 84604-4592 |
| Mailing Address |
3707 N Canyon Rd Ste 4 Provo UT 84604-4587 |
| Practice Telephone | 8012265315 |
| Practice Fax Number | 8016551950 |
| Mailing Telephone | 8012265315 |
| Mailing Fax Number | 8016551950 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | MRS. MISTY GAYLE WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 8012265315 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
137010 | UT | Dental Providers |
| Street Address |
3707 N CANYON RD SUITE 4 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-4592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548239478 | Edward Alphonse Parent | Psychologist | 3707 N Canyon Rd, Suite 2a, Provo, UT 84604-4592 | 2006-03-14 |
| 1306277546 | Canyon River Dental | Dentist | 3707 N Canyon Rd, Suite 7d, Provo, UT 84604-4592 | 2013-12-12 |
| 1134408156 | Andrew E Johnson | Dentist | 3707 N Canyon Rd, 7d, Provo, UT 84604-4592 | 2011-08-08 |
| 1376756726 | David M. Christiansen | Dentist | 3707 N Canyon Rd, Suite 8d, Provo, UT 84604-4592 | 2007-05-08 |
| 1083788210 | Gordon J Christensen | Dentist | 3707 N Canyon Rd, Suite 3a, Provo, UT 84604-4592 | 2006-11-20 |
| 1821196197 | Canyon River Dental | Dentist | 3707 N Canyon Rd, Suite 7d, Provo, UT 84604 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083788210 | Gordon J Christensen | Dentist | 3707 N Canyon Rd, Suite 3a, Provo, UT 84604-4592 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891227898 | Darren Goring | Dentist | 4020 S 700 E Ste 3, Salt Lake City, UT 84107-2578 | 2017-03-29 |
| 1932486008 | Evan Douglas Francis | Dentist | 1112 E 1045 N, Orem, UT 84097-4302 | 2011-11-03 |
| 1669634846 | Paul Lorin Child Jr. | Dentist | 10706 S River Front Pkwy, South Jordan, UT 84095-3519 | 2008-06-27 |
| 1962613851 | William G Christensen | Dentist | 1375 E 800 N Ste 204, Orem, UT 84097-4437 | 2007-05-24 |
| 1851450753 | Troy Harry Winegar | Dentist | 6364 S Highland Dr, Suite 101, Salt Lake City, UT 84121-2117 | 2006-12-06 |
| 1891873055 | Michael Stephen Affleck | Dentist | 2537 N 400e, North Ogden, UT 84414 | 2006-11-02 |
| 1225119365 | Donn Alan Grimes | Dentist | 1744 S 4800 E, Heber City, UT 84032-4326 | 2006-10-17 |
| 1972601227 | Craig V Lee | Dentist | 4020 South 700 East, Suite #3, Salt Lake City, UT 84107 | 2006-09-20 |
| 1811964521 | Jonathan M Rasmussen | Dentist | 7410 Creek Rd, Sandy, UT 84093-6140 | 2006-03-01 |
| 1457558983 | Duane K Orchard | Dentist | 625 E 500 S, Bountiful, UT 84010-3882 | 2007-06-28 |
| Find all providers with the same taxonomy | ||||
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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.