Individual provider · Type 1 NPI

Mark Theodore Endrizzi, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Taylorsville, UT

NPI number 1790776920 Active

Practice location

3105 W 5400 S
Taylorsville, UT 84118-2200

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD12090 (MN)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X6671559-9921 (UT)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1790776920

Mark Theodore Endrizzi, DDS's National Provider Identifier is 1790776920, issued on Nov 5, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Taylorsville, UT. The record was last updated on Dec 31, 2008.