IndividualActive
Mark Warren, DDS
NPI 1780691055 · General Practice Dentistry · Payson, UT
Provider details
- NPI number
- 1780691055
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 53424559922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
675 S 100 W
Payson, UT 84651-2883
Phone: (801) 465-1390
Fax: (801) 465-5130
Approximate (ZIP-level) locationGet directions
Mailing address
394 S 400 E
Santaquin, UT 84655-8116
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 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.