Mark Henry Habermeyer, DDS

Dentist · Riverdale, UT

Individual Active NPI

NPI number 1720095631

Practice location

4115 Riverdale Rd Ste B
Riverdale, UT 84405-3509
Phone
(801) 940-5555

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NPI record

NPI
1720095631
Entity type
Individual (Type 1)
Enumeration date
August 2, 2006
Last updated
December 8, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 9231171-9921 UT
General Practice Dentistry 1223G0001X 26994 CA

About Dr. Habermeyer

Mark Henry Habermeyer, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4115 Riverdale Rd Ste B, Riverdale, UT 84405-3509. The NPI number 1720095631 was assigned on August 2, 2006 and the record was last updated on December 8, 2015.

Dr. Habermeyer lists 2 licenses in the registry: #9231171-9921 (UT) for Dentist; #26994 (CA) 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 Henry Habermeyer, DDS?

The NPI number is 1720095631.

What is the phone number of Dr. Habermeyer?

The phone number listed for the practice location is (801) 940-5555.

Where is Dr. Habermeyer located?

4115 Riverdale Rd Ste B, Riverdale, UT 84405-3509.

What is the taxonomy code for Dr. Habermeyer?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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