Mark Louis Pettit in Salt Lake City - General Practice
Mark Louis Pettit - NPI 1760574701
Mark Louis Pettit is a General Practice in Salt Lake City, Utah. Mark Louis Pettit practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Louis Pettit is 1760574701. The last update date is 2015-03-19.
Mark Louis Pettit's current location address is 1060 E 100 S, Salt Lake City, Utah. You can contact this provider via phone number 8013281633 and fax number 8013284065. The mailing address for Mark Louis Pettit is 1060 E 100 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Louis Pettit |
|---|---|
| Address | 1060 E 100 S, Salt Lake City, Utah |
| Phone Number | 8013281633 |
| Fax Number | 8013284065 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1760574701 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2015-03-19 |
Provider Mailing Address Detail
| Address | 1060 E 100 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841021501 |
| Phone Number | 8013281633 |
| Fax Number | 8013284065 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2763579922 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Louis Pettit?
The Mark Louis Pettit has been issued the NPI (National Provider Identifier) 1760574701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark Louis Pettit is physically located?
The Mark Louis Pettit is physically situated at the following address: 1060 E 100 S, Salt Lake City, UT, 841021501.
What is Mark Louis Pettit's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Louis Pettit is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760574701 to Mark Louis Pettit?
The Centers for Medicare & Medicaid Services originally issued the 1760574701 to Mark Louis Pettit on 2006-09-28.
As of what date was the information pertaining to Mark Louis Pettit, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Louis Pettit, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-19.
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