npidexNPI registry + Medicare data

DANIEL THUNELL, DMD

Periodontics · SALT LAKE CITY, UT

Individual Active Opted out of Medicare NPI 1962615948

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Periodontics1223P0300X✓30206IA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Periodontics), effective 2019-07-17 through 2027-07-17.

Other Periodontics providers in Utah

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.