Individual
DR. CELESTE C MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
202 N GATEWAY DR, PROVIDENCE, UT 84332-9001
(435) 752-0605
(435) 755-8574
Mailing address
202 N GATEWAY DR, PROVIDENCE, UT 84332-9001
(435) 752-0605
(435) 755-8574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7364168-9922
UT
Other
Enumeration date
07/30/2009
Last updated
01/26/2026
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