person
Spencer Blake Nielsen, DDS
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1497318190

Spencer Blake Nielsen is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Spencer Blake Nielsen practices in Salt Lake City, UT and has the professional credentials of DDS. The NPI Number for Spencer Blake Nielsen is 1497318190 and holds a License No. (Utah).

The current practice location address for Spencer Blake Nielsen is 50 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 801-587-6453.

Location: 50 N Medical Dr, Salt Lake City, UT, 84108-1299
person
Provider Profile Details
NPI Number
1497318190
Provider Name
Spencer Blake Nielsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
50 N Medical Dr, Salt Lake City, UT, 84108-1299
Phone Number
801-587-6453
Fax Number
Provider Enumeration Date
04/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
801-587-6453
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
801-587-6453
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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