Gordon J. Christensen DDS PHD PC
NPI 1841654126ActiveOrganization· Dentist, Prosthodontics· Provo, UT
Dentist, Prosthodontics in Provo, Utah, registered in NPPES in April 2016. The authorized official on file is Misty Gayle Wilson, RDH, Office Manager.
Overview
| NPI | 1841654126 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2016 |
| Last updated in NPPES | Apr 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 137010 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, Prosthodontics providers in Provo
- 1083788210