IndividualActive
Mark Mangelson, DDS, MS
NPI 1851439251 · Periodontics · Salt Lake City, UT
Provider details
- NPI number
- 1851439251
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1439699922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
4010 S 700 E Ste 8
Salt Lake City, UT 84107-2573
Phone: (801) 266-3519
Approximate (ZIP-level) locationGet directions
Mailing address
4010 S 700 E Ste 8
Salt Lake City, UT 84107-2573
Registry dates
- Enumerated
- 2007-02-01
- 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.