person
Dr. Keith J Poulsen, DDS
Pediatric Dentist in Salt Lake City, Utah
NPI 1407970916

Keith J Poulsen is a Pediatric Dentist based in Salt Lake City, UT and is specialized in Pediatric Dentistry. Keith J Poulsen practices in Salt Lake City, UT and has the professional credentials of DDS. The NPI Number for Keith J Poulsen is 1407970916 and holds a License No. 134901 (Utah).

The current practice location address for Keith J Poulsen is 7138 Highland Dr, Salt Lake City, UT and can be reached out via phone at 801-944-0668 and via fax at 801-944-4482.

Location: 7138 Highland Dr, Salt Lake City, UT, 84121-3757
person
Provider Profile Details
NPI Number
1407970916
Provider Name
Keith J Poulsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7138 Highland Dr, Salt Lake City, UT, 84121-3757
Phone Number
801-944-0668
Fax Number
801-944-4482
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7138 Highland Dr
City
State
Zip
84121-3757
Phone Number
801-944-0668
Fax Number
801-944-4482
person
Provider Business Mailing Address Details
Address
7138 Highland Dr
City
State
Zip
84121-3757
Phone Number
801-944-0668
Fax Number
801-944-4482
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
134901 (Utah)
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.
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