Mark H Blaisdell in Bountiful - General Practice
Mark H Blaisdell - NPI 1164432084
Mark H Blaisdell is a General Practice in Bountiful, Utah. Mark H Blaisdell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark H Blaisdell is 1164432084. The last update date is 2007-07-08.
Mark H Blaisdell's current location address is 625 E 500 S Ste 203, Bountiful, Utah. You can contact this provider via phone number 8012926819 and fax number 8012988573. The mailing address for Mark H Blaisdell is 625 E 500 S Ste 203, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark H Blaisdell |
|---|---|
| Address | 625 E 500 S Ste 203, Bountiful, Utah |
| Phone Number | 8012926819 |
| Fax Number | 8012988573 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164432084 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 625 E 500 S Ste 203 |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840103884 |
| Phone Number | 8012926819 |
| Fax Number | 8012988573 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 140507-9922 |
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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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What is the Mark H Blaisdell's unique identification number?
The Mark H Blaisdell has been assigned the NPI (National Provider Identifier) Number 1164432084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Mark H Blaisdell?
The Mark H Blaisdell is physically situated at 625 E 500 S Ste 203, in the city of Bountiful, state of UT, with the postal code 840103884.
What is Mark H Blaisdell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark H Blaisdell's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164432084 to Mark H Blaisdell?
The Mark H Blaisdell received its 1164432084 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the Mark H Blaisdell's information last updated?
The Mark H Blaisdell's information was last updated on 2007-07-08.
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