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Mark H. Blaisdell DDS, PC

NPI 1184958159ActiveOrganization· Dentist· Bountiful, UT

Dentist in Bountiful, Utah, registered in NPPES in September 2009. The authorized official on file is Mark Harris Blaisdell, DDS, President.

Overview

NPI1184958159
StatusActive
Entity typeOrganization
NPI issuedSep 23, 2009
Last updated in NPPESSep 23, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X2009-37520UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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