Mark H. Blaisdell, D.D.S.

General Practice Dentistry · Bountiful, UT

Individual Active NPI

NPI number 1164432084

Practice location

625 E 500 S Ste 203
Bountiful, UT 84010-3884
Phone
(801) 292-6819
Fax
(801) 298-8573

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NPI record

NPI
1164432084
Entity type
Individual (Type 1)
Enumeration date
August 9, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 140507-9922 UT

About Dr. Blaisdell

Mark H. Blaisdell, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 625 E 500 S Ste 203, Bountiful, UT 84010-3884. The NPI number 1164432084 was assigned on August 9, 2006 and the record was last updated on July 8, 2007.

Dr. Blaisdell lists a license in the registry: #140507-9922 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark H. Blaisdell, D.D.S.?

The NPI number is 1164432084.

What is the phone number of Dr. Blaisdell?

The phone number listed for the practice location is (801) 292-6819.

Where is Dr. Blaisdell located?

625 E 500 S Ste 203, Bountiful, UT 84010-3884.

What is the taxonomy code for Dr. Blaisdell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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