Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK THEODORE ENDRIZZI, D.D.S.
ActiveDR. MARK THEODORE ENDRIZZI, D.D.S. is a Orthodontics healthcare provider located in TAYLORSVILLE, Utah. NPI 1790776920 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1790776920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2005 (20.728171429295 yrs)
- Last Updated
- Dec 31, 2008
- Licenses
-
D12090 (MN)6671559-9921 (UT)
Practice Information
- Address
-
3105 W 5400 STAYLORSVILLE, UT, 841182200Browse UT providers · Browse ZIP 84118
- Phone
- 8019696236
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in TAYLORSVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| DR. GERALD PARKER POULSEN | D.D.S. | 1164580197 |
| BRIAN WILLIAM BAIRD | DDS, MS | 1104036557 |
| DR. JAMES WYLIE THOMAS | D.M.D. | 1073841268 |
| DR. MATTHEW BLAKE HILLSTEAD | D.D.S. | 1063709244 |
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.