Individual provider · Type 1 NPI

Mark Spangler Wallace, DDS

General Practice Dentistry · Salt Lake City, UT

NPI number 1669467213 Active

Practice location

168 N 1950 W Ste 202
Salt Lake City, UT 84116-3007

Call (801) 715-3400 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X142818-9921 (UT)

General Practice Dentistry: 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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About NPI 1669467213

Mark Spangler Wallace, DDS's National Provider Identifier is 1669467213, issued on Sep 20, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 6, 2020.