DR. MARK H BLAISDELL D.D.S.
NPI 1164432084
Dentist - General Practice in Bountiful, UT

Active since August 09, 2006
625 E 500 S STE 203, BOUNTIFUL, UT 84010(801) 292-6819(801) 298-8573 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Mark H Blaisdell D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK H BLAISDELL D.D.S. (NPI 1164432084) is an individual general practice provider in Bountiful, Utah, licensed in Utah (140507-9922) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164432084
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK H BLAISDELLCredential: D.D.S.
Location Address625 E 500 S STE 203Bountiful, UT 84010-3884
Mailing Address625 E 500 S Ste 203Bountiful, UT 84010-3884
Fax(801) 298-8573
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164432084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 140507-9922
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.
625 E 500 S STE 203, Bountiful, UT 84010

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
625 E 500 S STE 203
BOUNTIFUL, UT 84010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Blaisdell's NPI number?

The NPI number for Mark Blaisdell is 1164432084. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Mark Blaisdell located?

Mark Blaisdell practices at 625 E 500 S Ste 203, Bountiful, UT 84010. The listed phone number is (801) 292-6819.

What is Mark Blaisdell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Blaisdell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.