DR. MICAH MORTENSEN, D.D.S., M.S.D.

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1891857579

Practice Address

6287 S REDWOOD RD STE 202
Salt Lake City, UT 84123

Phone: (801) 262-3777

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes 4726746-9921 (UT)

Frequently Asked Questions

NPI 1891857579 is the National Provider Identifier for DR. MICAH MORTENSEN, D.D.S., M.S.D., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Salt Lake City, UT. This NPI was enumerated on December 15, 2006.
DR. MICAH MORTENSEN, D.D.S., M.S.D. practices at 6287 S REDWOOD RD STE 202, Salt Lake City, UT 84123.

Quick Facts

NPI
1891857579
Type
Individual
Enumerated
Dec 15, 2006
Last Updated
Jun 15, 2022

Nearby Providers