Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK LEGRAND MANGELSON, DDS, MS
Active Sole ProprietorMARK LEGRAND MANGELSON, DDS, MS is a Periodontology healthcare provider located in SALT LAKE CITY, Utah. NPI 1851439251 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1851439251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2007 (19.490368060077 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1439699922 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4010 S 700 E STE 8SALT LAKE CITY, UT, 841072573Browse UT providers · Browse ZIP 84107
- Phone
- 8012663519
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. GERALD STOHL SUMMERHAYS | DDS, MS | 1659306363 |
| DR. JAMES C STOVER | D.D.S | 1518051655 |
| DR. JOHN M COSTLEY | DDS | 1689761488 |
| DR. CHRISTIAN ANDRE NIELSEN | D.D.S. | 1114014784 |
| RICHARD RIZZO | — | 1407917123 |
| DR. JON D MANWARING | DDS | 1750432449 |
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.