Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark H. Blaisdell DDS, PC

Organization Dentist · NPI 1184958159

Mark H. Blaisdell DDS, PC is a Dentist in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 E 500 S Ste 203
Bountiful, UT 84010-3882
Phone: (801) 292-6819
Fax: (801) 298-8573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2009-37520 (UT)

Record details

NPI number1184958159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Blaisdell — President · (801) 292-6819
NPI enumeratedSeptember 23, 2009
Last updated in NPPESSeptember 23, 2009
Mailing address625 E 500 S, Suite 203, Bountiful, UT 84010-3882

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