Mark Pettit, DDS

NPI 1760574701 · on the registry since 2006 · sole proprietor

Practice

Address: 1060 E 100 S
Suite 302
Salt Lake City, UT 84102
Phone: (801) 328-1633
Fax: (801) 328-4065
Organisation at this address: Heredilab, Inc
Wh-Bm Consultant Llc
Sunnyside Pediatrics
Medical Plaza Pharmacy, Inc.
Garcia Clinical Psychology, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah