OrganizationActive
Mark H. Blaisdell DDS, PC
NPI 1184958159 · Dentist · Bountiful, UT
Provider details
- NPI number
- 1184958159
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mark Blaisdell, President(801) 292-6819
- License
- 2009-37520 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Suite 203
Bountiful, UT 84010-3882
Phone: (801) 292-6819
Fax: (801) 298-8573
Street-level locationGet directions
Mailing address
625 E 500 S
Bountiful, UT 84010-3882
Registry dates
- Enumerated
- 2009-09-23
- Last updated
- 2009-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.