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Salt Lake Implants and Periodontics

NPI 1922664556ActiveOrganization· Dentist, Periodontics· Salt Lake City, UT

Dentist, Periodontics in Salt Lake City, Utah, registered in NPPES in May 2019. The authorized official on file is Mark Mangelson, DDS, Owner.

Overview

NPI1922664556
StatusActive
Entity typeOrganization
NPI issuedMay 20, 2019
Last updated in NPPESMay 20, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

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

Medicare sources and data years

Other periodontists in Salt Lake City

All 18 periodontists in Salt Lake City · All periodontists in Utah