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NPI Profile

NPI: 1164580197
Classification:Dentist - 1223X0400X
Entity Type: Individual

Specialization: Orthodontics and Dentofacial Orthopedics

3105 W 5400 S
ZIP 84118
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Phone: (801) 969-6236

DR. Gerald Parker Poulsen, D.D.S. is an orthodontics and dentofacial orthopedics dentist in Taylorsville, UT. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DR. Gerald Parker Poulsen, D.D.S. NPI is 1164580197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3105 W 5400 S
ZIP 84118-200
Phone: (801) 969-6236
Fax: (801) 966-4572

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics131024-9921UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 1/9/2022

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