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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK LOUIS PETTIT, DDS

Active Sole Proprietor

DR. MARK LOUIS PETTIT, DDS is a General Dentistry healthcare provider located in SALT LAKE CITY, Utah. NPI 1760574701 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SALT LAKE CITY, UT

Registration Details

NPI Number
1760574701
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2006 (19.889493132244 yrs)
Last Updated
Mar 19, 2015
License
2763579922 (UT)
Sole Proprietor
Yes

Practice Information

Address
1060 E 100 S
SUITE 302
SALT LAKE CITY, UT, 841021501
Browse UT providers · Browse ZIP 84102
Phone
8013281633
Fax
8013284065
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. MARK SPANGLER WALLACE DDS 1669467213
DR. GREGORY WALLACE GATRELL D.D.S. 1912977752
DR. SCOTT RAYMOND STEIN D.D.S. 1154380772
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.