Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK SPANGLER WALLACE, DDS
ActiveDR. MARK SPANGLER WALLACE, DDS is a General Dentistry healthcare provider located in SALT LAKE CITY, Utah. NPI 1669467213 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1669467213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.712334728058 yrs)
- Last Updated
- Apr 6, 2020
- License
-
142818-9921 (UT)
Practice Information
- Address
-
168 N 1950 W STE 202SALT LAKE CITY, UT, 841163007Browse UT providers · Browse ZIP 84116
- Phone
- 8017153400
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. DENNY N CHO | DDS | 1609879972 |
| RICHARD JOSEPH HAULEY JR. | DMD | 1891799201 |
| DR. THOMAS F. BRICKEY | D.M.D. | 1184623480 |
| DR. GREGORY WALLACE GATRELL | D.D.S. | 1912977752 |
| DR. SCOTT RAYMOND STEIN | D.D.S. | 1154380772 |
| DR. STAN REED CLARK | D.M.D | 1629021969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.