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

Mark Jardine, DDS

Individual provider General Practice Dentistry · NPI 1801177704

Mark Jardine, DDS is a General Practice Dentistry in Provo, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

3330 N University Ave Ste A
Provo, UT 84604-4454
Phone: (801) 615-2917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8544722-9921 (UT)

Record details

NPI number1801177704
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 6, 2011
Last updated in NPPESMarch 17, 2024
Certification dateMarch 17, 2024
Mailing address784 W 2920 N, Lehi, UT 84043-6022

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