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Mark Blaisdell, D.D.S.
NPI 1164432084 · General Practice Dentistry · Bountiful, UT
Mark Blaisdell, D.D.S. is a General Practice Dentistry provider in Bountiful, UT (NPI 1164432084).
Provider details
- NPI number
- 1164432084
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 140507-9922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 E 500 S Ste 203
Bountiful, UT 84010-3884
Phone: (801) 292-6819
Fax: (801) 298-8573
Street-level locationGet directions
Mailing address
625 E 500 S Ste 203
Bountiful, UT 84010-3884
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Blaisdell's NPI number?
- Mark Blaisdell's National Provider Identifier (NPI) is 1164432084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Blaisdell's specialty?
- Mark Blaisdell is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mark Blaisdell located?
- Mark Blaisdell's practice location on file with NPPES is 625 E 500 S Ste 203, Bountiful, UT 84010-3884.
- What is Mark Blaisdell's phone number?
- The practice phone number listed in the NPPES registry for Mark Blaisdell is (801) 292-6819.
- Is Mark Blaisdell's NPI active?
- Yes — Mark Blaisdell's NPI (1164432084) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.