Marcus D Wisner in Salt Lake City - Dentist

Marcus D Wisner - NPI 1902929169

Marcus D Wisner is a Dentist in Salt Lake City, Utah. Marcus D Wisner practices all healthcare services and medical treatments related to Dentist. The NPI Number for Marcus D Wisner is 1902929169. The last update date is 2007-07-08.

Marcus D Wisner's current location address is 3920 S 1100 E Ste 330, Salt Lake City, Utah. You can contact this provider via phone number 8012629785. The mailing address for Marcus D Wisner is 3920 S 1100 E Ste 330, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Marcus D Wisner
Address 3920 S 1100 E Ste 330, Salt Lake City, Utah
Phone Number 8012629785
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1902929169
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3920 S 1100 E Ste 330
City Salt Lake City
State Utah (UT)
Post Code 841241274
Phone Number 8012629785
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5079227
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Marcus D Wisner

What is the unique 10-digit identification code assigned to Marcus D Wisner by the Centers for Medicare & Medicaid Services?

The Marcus D Wisner has been issued the NPI (National Provider Identifier) 1902929169, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Marcus D Wisner's facilities are situated?

The facilities of Marcus D Wisner are physically located at the following address: 3920 S 1100 E Ste 330, Salt Lake City, UT, 841241274.

What is Marcus D Wisner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marcus D Wisner is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902929169 to Marcus D Wisner?

The Centers for Medicare & Medicaid Services originally issued the 1902929169 to Marcus D Wisner on 2007-04-10.

As of what date was the information pertaining to Marcus D Wisner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Marcus D Wisner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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