Whalio Doctors

NPI 1619718798

Nadine Nicholas

Practitioner Dental Hygienist South Jordan, UT

Practice location

Address
10435 S 2200 W, South Jordan, UT 84095-8397
Phone
(801) 363-5652
Mailing address
655 S 1000 W APT 4, Salt Lake City, UT 84104-1378

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 13771013-9920 (UT)

Registry record

NPI
1619718798
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Jun 2024
Record last updated
4 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.