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 provides 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
Show map & directions

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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