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

Salt Lake Implants and Periodontics

Organization Periodontics · NPI 1922664556

Salt Lake Implants and Periodontics is a Periodontics in Salt Lake City, Utah. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4010 S 700 E Ste 8
Salt Lake City, UT 84107-2582
Phone: (801) 266-3519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1922664556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Mangelson — Owner · (801) 266-3519
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019
Mailing address4010 S 700 E Ste 8, Salt Lake City, UT 84107-2582

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