BRANDON NAKKEN


Address: 65 N Gateway Dr Ste 1, Providence, UT 84332-6102
Phone: 4357529296

BRANDON NAKKEN (NPI# 1902285190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902285190
Entity Type Individual
Full Name BRANDON NAKKEN
Credential DDS
Practice Address 65 N Gateway Dr Ste 1
Providence
UT 84332-6102
Practice Telephone 4357529296
Mailing Telephone (435) 787-2223
Enumeration Date 2015-05-21
Last Update Date 2017-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
10335222-8903 UT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 1902285190 05

Office Location

Street Address 65 N GATEWAY DR STE 1
City PROVIDENCE
State UT
Zip Code 84332-6102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992119390 Abc Pediatric Dentistry, PC Dentist 65 N Gateway Dr Ste 1, Providence, UT 84332-6102 2014-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881292167 3bc Incorporated Pharmacy 435 North Gateway Drive #802, Providence, UT 84332 2020-10-09
1962049932 Wholelife Family Wellness Clinic of Providence Pllc Counselor 169 N Gateway Dr. Suite 170, Providence, UT 84332 2019-12-09
1033503420 Spring Creek Surgical Center, LLC Clinic/Center 65 North Gateway Drive, Suite 3, Providence, UT 84332 2015-03-24
1558751438 Naturopathic Medical, P.C. Naturopath 565 W. 465 N., Suite 150, Providence, UT 84332 2015-01-29
1821421710 Erin Campbell Physical Therapist 267 West Spring Creek Parkway, Providence, UT 84332 2013-08-14
1285981530 Jordan Joseph Hansen Dentist 169 N Gateway Drive, Suite 200, Providence, UT 84332 2012-08-06
1598086720 Cory B Maughan Dermatology 169 N Gateway Dr Ste 100, Providence, UT 84332 2010-06-22
1528299245 South Valley Eyecare Center, Inc. Optometrist 276 Springcreek Pkwy, Providence, UT 84332 2009-07-29
1316134356 Heather Saxton Maughan Speech-Language Pathologist 344 E Edgehill Dr, Providence, UT 84332 2007-10-03
1902021538 Brad L Thomas Physical Therapist 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 2007-04-17
Find all providers in zip 84332

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992119390 Abc Pediatric Dentistry, PC Dentist 65 N Gateway Dr Ste 1, Providence, UT 84332-6102 2014-06-13
1457794315 Kurt Gordon Vest Dentist 169 N Gateway Dr Ste 105, Providence, UT 84332-9861 2013-04-10
1275583874 Farisa Surattanont Mulvey Dentist 148 Waterman St, Providence, RI 02906-2130 2006-05-12
1912963935 Stanton Cannon Allen Dentist 65 N. Gateway Drive, Ste #1, Providence, UT 84332-6102 2006-04-26
1487216685 Wasatch Pediatric Dentistry, PC Dentist 169 N Gateway Dr Ste 105, Providence, UT 84332-9861 2019-07-08
1194165167 Amir Yavari Dentist 21 Peace St, Providence, RI 02907 2013-07-05
1942565486 Jeffrey W Higbee Dentist 21 Peace St, Providence, RI 02907-1510 2012-07-11
1871858233 Derek Nobrega Dentist 21 Peace St, Providence, RI 02907-1510 2012-07-11
1427215656 Douglas D Warner Dentist 21 Peace St, Providence, RI 02907-1510 2008-05-16
1942322458 Thomas S. Mulvey Dds LLC Dentist 111 Point Street, Suite 1, Providence, RI 02903 2007-04-04
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 84332

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Dataset Information

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.

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