DR. MARK JARED THORNLEY D.D.S.
NPI 1912926882
Dentist - General Practice in Logan, UT

Active since July 19, 2006PECOS Enrolled
104 E 200 N, LOGAN, UT 84321(435) 752-9662(435) 752-9664 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Jared Thornley D.d.s. NPPES

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

DR. MARK JARED THORNLEY D.D.S. (NPI 1912926882) is an individual general practice provider in Logan, Utah, licensed in Utah (5946318-9922) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912926882
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK JARED THORNLEYCredential: D.D.S.
Location Address104 E 200 NLogan, UT 84321-4007
Mailing Address104 E 200 NLogan, UT 84321-4007 · (435) 752-9662 · Fax (435) 752-9664
Fax(435) 752-9664
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912926882 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 · 5946318-9922
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.

104 E 200 N, Logan, UT 84321

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Jared Thornley D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912926882, enumerated as an "individual" on July 19, 2006.

The provider is located at 104 E 200 N LOGAN, UT 84321 and the phone number is (435) 752-9662.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.