Individual provider · Type 1 NPI

Mark Legrand Mangelson, DDS, MS

Periodontics · Salt Lake City, UT

NPI number 1851439251 Active

Practice location

4010 S 700 E Ste 8
Salt Lake City, UT 84107-2573

Call (801) 266-3519 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X1439699922 (UT)

Periodontics: 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.

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About NPI 1851439251

Mark Legrand Mangelson, DDS, MS's National Provider Identifier is 1851439251, issued on Feb 1, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.