Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK HENRY HABERMEYER, DDS
ActiveDR. MARK HENRY HABERMEYER, DDS is a Dentist healthcare provider located in RIVERDALE, Utah. NPI 1720095631 is currently active in the NPPES registry. Verify at CMS.
Dentist · RIVERDALE, UT
Registration Details
- NPI Number
- 1720095631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.045567014401 yrs)
- Last Updated
- Dec 8, 2015
- Licenses
-
9231171-9921 (UT)26994 (CA)
Practice Information
- Address
-
4115 RIVERDALE RD STE BRIVERDALE, UT, 844053509Browse UT providers · Browse ZIP 84405
- Phone
- 8019405555
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
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.