Mark D. Mackley, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

322802-9923 Issued in UT

Practice address

2201 N 400 E
North Ogden, UT 84414-7210

Phone

(801) 782-6681

Fax

(801) 786-0539

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry Dental

  • Dental Clinic/Center
  • Perry, UT
  • NPI 1437749694
  NPD
• Northview Dental Associates LLC

  • General Practice Dentistry
  • North Ogden, UT
  • NPI 1790790426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427067271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147210",
            "telephone_number": "801-782-6681",
            "fax_number": "801-786-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147210",
            "telephone_number": "801-782-6681",
            "fax_number": "801-786-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLEY",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "322802-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Daniels Linsley, DDS
• Kent O. Linsley, D.D.S.
• Kathleen M Lofley, RN, BSN
• Katie Lott
• Bryant Paul Mackley, DDS
• Paul Arthur Mackley, D.D. S.
• Ronald Bert Malouf, DOCTOR OF PHARMACY
• Meg Manning
• Kolleen Marchand, PA-C
• Marckaren, Inc

• General Practice Dentistry in North Ogden, UT
• Providers in North Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.