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Micah Mortensen, D.D.S., M.S.D
NPI 1891857579 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6287 S Redwood Rd Ste 202
Salt Lake City, UT 84123 - Phone
- (801) 262-3777
- Organisation at this address
- Peter E. Paulos, Dds, Ms
Redwood Periodontics, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 263 Country Club, Stansbury Park, UT
- 3535 S Market St Ste 125, West Valley City, UT
- 13825 S Redwood Rd, Bluffdale, UT
- 4651 W 13400 S, Riverton, UT
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah