Individual provider · Type 1 NPI

Mark Louis Pettit, DDS

General Practice Dentistry · Salt Lake City, UT

NPI number 1760574701 Active

Practice location

1060 E 100 S, Suite 302
Salt Lake City, UT 84102-1501

Call (801) 328-1633 Map

Fax (801) 328-4065

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2763579922 (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 1760574701

Mark Louis Pettit, DDS's National Provider Identifier is 1760574701, issued on Sep 28, 2006. 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 Mar 19, 2015.