Mark Legrand Mangelson in Salt Lake City - Periodontics
Mark Legrand Mangelson - NPI 1851439251
Mark Legrand Mangelson is a Periodontics in Salt Lake City, Utah. Mark Legrand Mangelson practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark Legrand Mangelson is 1851439251. The last update date is 2007-07-08.
Mark Legrand Mangelson's current location address is 4010 S 700 E Ste 8, Salt Lake City, Utah. You can contact this provider via phone number 8012663519. The mailing address for Mark Legrand Mangelson is 4010 S 700 E Ste 8, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Legrand Mangelson |
|---|---|
| Address | 4010 S 700 E Ste 8, Salt Lake City, Utah |
| Phone Number | 8012663519 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1851439251 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4010 S 700 E Ste 8 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841072573 |
| Phone Number | 8012663519 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1439699922 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Legrand Mangelson by the Centers for Medicare & Medicaid Services?
The Mark Legrand Mangelson has been issued the NPI (National Provider Identifier) 1851439251, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Legrand Mangelson?
The Mark Legrand Mangelson is physically situated at 4010 S 700 E Ste 8, in the city of Salt Lake City, state of UT, with the postal code 841072573.
What is Mark Legrand Mangelson's area of expertise and its corresponding taxonomy classification?
The Mark Legrand Mangelson's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Legrand Mangelson receive the assignment of its 1851439251 from the Centers for Medicare & Medicaid Services?
The Mark Legrand Mangelson was issued its 1851439251 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the details pertaining to Mark Legrand Mangelson last refreshed?
The information related to the Mark Legrand Mangelson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.