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

Dr. R. Blake Nielsen, DMD

Individual provider Endodontics · NPI 1619030095

Dr. R. Blake Nielsen, DMD is an Endodontics in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1434 E 4500 S Ste #201
Salt Lake City, UT 84117-4250
Phone: (801) 272-5800
Fax: (801) 272-5897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 90-0144898-9922 (UT)

Record details

NPI number1619030095
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007

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