Healthcare Provider Details

I. General information

NPI: 1982879508
Provider Name (Legal Business Name): AARON A. CHRISTENSEN, D.M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 HARRISON BLVD STE 1
OGDEN UT
84403-2082
US

IV. Provider business mailing address

3550 HARRISON BLVD STE 1
OGDEN UT
84403-2082
US

V. Phone/Fax

Practice location:
  • Phone: 801-627-1221
  • Fax:
Mailing address:
  • Phone: 801-627-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number376282-9923
License Number StateUT

VIII. Authorized Official

Name: DR. AARON ALLEN CHRISTENSEN
Title or Position: OWNER
Credential: D.M.D.
Phone: 801-627-1221