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Dr. Mark H Blaisdell, DDS
General Practice Dentistry in Bountiful, Utah
NPI 1164432084

Mark H Blaisdell is a General Practice Dentistry based in Bountiful, UT and is specialized in General Practice. Mark H Blaisdell practices in Bountiful, UT and has the professional credentials of DDS. The NPI Number for Mark H Blaisdell is 1164432084 and holds a License No. 140507-9922 (Utah).

The current practice location address for Mark H Blaisdell is 625 E 500 S Ste 203, Bountiful, UT and can be reached out via phone at 801-292-6819 and via fax at 801-298-8573. You can also correspond with Mark H Blaisdell through the mailing address at 625 E 500 S STE 203, BOUNTIFUL, UT - 84010-3884 (mailing address contact number: ).

Location: 625 E 500 S Ste 203, Bountiful, UT, 84010-3884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164432084
Provider Name
Mark H Blaisdell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
625 E 500 S Ste 203, Bountiful, UT, 84010-3884
Phone Number
801-292-6819
Fax Number
801-298-8573
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
625 E 500 S Ste 203
City
Bountiful
State
Utah
Zip
84010-3884
Phone Number
801-292-6819
Fax Number
801-298-8573
person
Provider Business Mailing Address Details
Address
625 E 500 S Ste 203
City
Bountiful
State
Utah
Zip
84010-3884
Phone Number
801-292-6819
Fax Number
801-298-8573
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
140507-9922 (Utah)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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