Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

White Pine Endodontics PC

Organization Endodontics · NPI 1457874059

White Pine Endodontics PC is an Endodontics in Providence, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

169 N Gateway Dr Ste 200
Providence, UT 84332-9516
Phone: (435) 760-4346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 8362186-9922 (UT)

Record details

NPI number1457874059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Hansen — President · (435) 760-4346
NPI enumeratedJuly 25, 2017
Last updated in NPPESJuly 25, 2017
Mailing address169 N Gateway Dr Ste 200, Providence, UT 84332-9516

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