Individual
DR. BRETT KENDALL CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
368 E RIVERSIDE DR STE 6, ST GEORGE, UT 84790
(435) 688-8827
(435) 688-8826
Mailing address
368 E RIVERSIDE DR STE 6, ST GEORGE, UT 84790-7278
(435) 688-8827
(435) 688-8826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5336153-9923
UT
1223P0221X
Pediatric Dentistry
53361539923
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506180
—
NV
01
—
1759539
UNITED CONCORDIA
—
01
—
53361539902001
BXBS
UT
01
—
83041
PEHP
—
05
—
937807
—
AZ
Enumeration date
08/17/2006
Last updated
12/10/2019
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