Mark H. Blaisdell DDS, PC
Dentist · Bountiful, UT
Practice location
625 E 500 SSuite 203
Bountiful, UT 84010-3882
- Phone
- (801) 292-6819
- Fax
- (801) 298-8573
NPI record
- NPI
- 1184958159
- Entity type
- Organization (Type 2)
- Enumeration date
- September 23, 2009
- Last updated
- September 23, 2009
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
2009-37520 | UT |
Authorized official
- Name
- Dr. Mark Harris Blaisdell, DDS
- Title
- President
- Phone
- (801) 292-6819
About Mark H. Blaisdell DDS, PC
Mark H. Blaisdell DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 625 E 500 S, Suite 203, Bountiful, UT 84010-3882. The NPI number 1184958159 was assigned on September 23, 2009 and the record was last updated on September 23, 2009.
Mark H. Blaisdell DDS, PC lists a license in the registry: #2009-37520 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Mark Harris Blaisdell, DDS, President.
Frequently asked questions
What is the NPI number of Mark H. Blaisdell DDS, PC?
The NPI number is 1184958159.
What is the phone number of Mark H. Blaisdell DDS, PC?
The phone number listed for the practice location is (801) 292-6819.
Where is Mark H. Blaisdell DDS, PC located?
625 E 500 S, Suite 203, Bountiful, UT 84010-3882.
What is the taxonomy code for Mark H. Blaisdell DDS, PC?
The primary taxonomy code is 122300000X – Dentist.
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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