MARK J MCDONOUGH (NPI# 1659591238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659591238 |
| Entity Type | Individual |
| Full Name | MARK J MCDONOUGH |
| Credential | DDS MSD PC |
| Practice Address |
6070 South 1300 East Suite 202 Salt Lake City UT 84121-6724 |
| Practice Telephone | 8012662662 |
| Practice Fax Number | 8012682009 |
| Mailing Telephone | 8012662662 |
| Mailing Fax Number | 8012682009 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
137504 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891889432 | Mark William Mcdonough | Dentist | 245 South Main Street, Pennington, NJ 08534 | 2006-10-03 |
| 1386652949 | Mark D Mcdonough | Specialist | 4680 Millenia Plaza Way, Orlando, FL 32839-2434 | 2006-08-03 |
| 1760048557 | Mark Thomas Mcdonough | Dentist | 550 University Blvd, Indianapolis, IN 46202-5149 | 2019-05-16 |
| 1427171412 | Mark Mcdonough | Clinical Neuropsychologist | 4405 Manchester Ave, Ste 206, Encinitas, CA 92024-7902 | 2007-04-06 |
| Street Address |
6070 SOUTH 1300 EAST SUITE 202 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285086355 | Morrison Orthodontics, Pllc | Dentist | 2080 E Murray Holladay Rd, Salt Lake City, UT 84117-5132 | 2016-07-12 |
| 1568681450 | S Donald Gardner | Dentist | 7138 Highland Dr Ste 213, Salt Lake City, UT 84121-3781 | 2007-04-25 |
| 1669690236 | Norman A Maxfield | Dentist | 6243 S Redwood Rd Ste 240, Salt Lake City, UT 84123-6412 | 2007-04-20 |
| 1629295050 | David Vernon Young | Dentist | 622 E 4500 S Ste 202, Salt Lake City, UT 84107-2922 | 2007-04-19 |
| 1306968359 | John W Graham | Dentist | 705 E 900 S Ste 300, Salt Lake City, UT 84105-1281 | 2007-04-03 |
| 1801916309 | Feller Orthodontics A Professional Organization | Dentist | 2505 E 3300 S, Salt Lake City, UT 84109-2737 | 2007-03-29 |
| 1750435020 | Paul M Broadwater | Dentist | 2080 Murray Holladay Rd, Salt Lake City, UT 84117-5132 | 2007-01-23 |
| 1407913726 | Peter E Paulos | Dentist | 6287 S Redwood Rd Ste 202, Salt Lake City, UT 84123-6655 | 2007-01-03 |
| 1659431526 | Alan Charles Jensen | Dentist | 1377 East 3900 South, Suite 203, Salt Lake City, UT 84124 | 2006-12-11 |
| 1659446748 | Richard L Curtis Dds Ms PC | Dentist | 2025 S 1300 E, Suite 1, Salt Lake City, UT 84105-3698 | 2006-11-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on MARK J MCDONOUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.