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BRANDON NAKKEN DDS
NPI 1902285190
Dentist - Pediatric Dentistry in Providence, UT

Active since May 21, 2015
65 N GATEWAY DR STE 1, PROVIDENCE, UT 84332(435) 752-9296 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Brandon Nakken Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON NAKKEN DDS (NPI 1902285190) is an individual pediatric dentistry provider in Providence, Utah, licensed in Utah (10335222-8903) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1902285190
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameBRANDON NAKKENCredential: DDS
Location Address65 N GATEWAY DR STE 1Providence, UT 84332-6102
Mailing Address65 N Gateway Dr Ste 1Providence, UT 84332-6102 · (435) 787-2223
Phone(435) 752-9296
Sole ProprietorNo
Enumeration DateMay 21, 2015
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1902285190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 10335222-8903
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

65 N GATEWAY DR STE 1, Providence, UT 84332
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Other Identifiers 1

Medicaid1902285190UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABC PEDIATRIC DENTISTRY, PC
Dentist (Pediatric Dentistry)
65 N GATEWAY DR STE 1
PROVIDENCE, UT 84332
Cache County (435) 787-2223

Frequently Asked Questions

What is Brandon Nakken's NPI number?

The NPI number assigned to this healthcare provider is 1902285190, enumerated as an "individual" on May 21, 2015.

Where is the provider located?

The provider is located at 65 N GATEWAY DR STE 1 PROVIDENCE, UT 84332 and the phone number is (435) 752-9296.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does Brandon Nakken accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.