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SALT LAKE IMPLANTS AND PERIODONTICS
NPI 1922664556
Dentist - Periodontics in Salt Lake City, UT

Active since May 20, 2019
4010 S 700 E STE 8, SALT LAKE CITY, UT 84107(801) 266-3519 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Salt Lake Implants And Periodontics NPPES

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

SALT LAKE IMPLANTS AND PERIODONTICS (NPI 1922664556) is a healthcare organization registered as a periodontics in Salt Lake City, Utah and active in the NPI registry since May 2019. The organization lists Mark Mangelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1922664556
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSALT LAKE IMPLANTS AND PERIODONTICS
Location Address4010 S 700 E STE 8Salt Lake City, UT 84107-2582
Mailing Address4010 S 700 E Ste 8Salt Lake City, UT 84107-2582 · (801) 266-3519
Phone(801) 266-3519
Organization SubpartNo
Authorized OfficialMark MangelsonOwner · (801) 266-3519
Enumeration DateMay 20, 2019
✔ NPI 1922664556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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 structures and tissues.
4010 S 700 E STE 8, Salt Lake City, UT 84107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MARK LEGRAND MANGELSON DDS, MS
Dentist (Periodontics)
4010 S 700 E STE 8
SALT LAKE CITY, UT 84107
Salt Lake County (801) 266-3519

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 Salt Lake Implants And Periodontics's NPI number?

The NPI number for Salt Lake Implants And Periodontics is 1922664556. It was assigned to this organization in the NPPES registry on May 20, 2019.

Where is Salt Lake Implants And Periodontics located?

Salt Lake Implants And Periodontics is located at 4010 S 700 E Ste 8, Salt Lake City, UT 84107. The listed phone number is (801) 266-3519.

What is Salt Lake Implants And Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Salt Lake Implants And Periodontics was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.