Mark Jardine, DDS
General Practice Dentistry · Provo, UT
Practice location
3330 N University Ave Ste aProvo, UT 84604-4454
- Phone
- (801) 615-2917
NPI record
- NPI
- 1801177704
- Entity type
- Individual (Type 1)
- Enumeration date
- September 6, 2011
- Last updated
- March 17, 2024
- Certified
- March 17, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
8544722-9921 | UT |
Mailing address
784 W 2920 NLehi, UT 84043-6022
- Phone
- (801) 368-8674
About Dr. Jardine
Mark Jardine, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3330 N University Ave Ste a, Provo, UT 84604-4454. The NPI number 1801177704 was assigned on September 6, 2011 and the record was last updated on March 17, 2024.
Dr. Jardine lists a license in the registry: #8544722-9921 (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 Jardine, DDS?
The NPI number is 1801177704.
What is the phone number of Dr. Jardine?
The phone number listed for the practice location is (801) 615-2917.
Where is Dr. Jardine located?
3330 N University Ave Ste a, Provo, UT 84604-4454.
What is the taxonomy code for Dr. Jardine?
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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