Dr Micah G Mortensen, DDS, MSD - Dentist in Salt Lake City, UT

Dr Micah G Mortensen, DDS, MSD is a Dentist - Orthodontics And Dentofacial Orthopedics based in Salt Lake City, Utah. Dr Micah G Mortensen is licensed to practice in Utah (license number 4726746-9921) and his current practice location is 6287 S Redwood Rd Ste 202, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 262-3777.

NPI number for Dr Micah G Mortensen is 1891857579 and his current mailing address is 15359 W Columbine Dr, Surprise, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891857579.

Contact Information

Dr Micah G Mortensen, DDS, MSD
6287 S Redwood Rd Ste 202,
Salt Lake City, UT 84123-6655
(801) 262-3777
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Micah G Mortensen
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location6287 S Redwood Rd Ste 202, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891857579
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 06/15/2022

Medical Identifiers

Medical identifiers for Dr Micah G Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891857579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 4726746-9921 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Micah G Mortensen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Micah G Mortensen, DDS, MSD
15359 W Columbine Dr,
Surprise, AZ 85379-9190

Ph: () -
Dr Micah G Mortensen, DDS, MSD
6287 S Redwood Rd Ste 202,
Salt Lake City, UT 84123-6655

Ph: (801) 262-3777

Reviews and Comments


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