DR. MARK LOUIS PETTIT DDS
NPI 1760574701
Dentist - General Practice in Salt Lake City, UT

NPI Status: Active since September 28, 2006

Contact Information

1060 E 100 S
SUITE 302
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 328-1633
Fax: (801) 328-4065

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  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance

About MARK PETTIT

This page provides the complete NPI Profile along with additional information for Mark Pettit, a provider established in Salt Lake City, Utah with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1760574701 assigned on September 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 2763579922 (UT). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1760574701
Provider Name
DR. MARK LOUIS PETTIT DDS
Gender
Male
Entity Type
Individual
Location Address
1060 E 100 S SUITE 302 SALT LAKE CITY, UT 84102
Location Phone
(801) 328-1633
Location Fax
(801) 328-4065
Mailing Address
1060 E 100 S SUITE 302 SALT LAKE CITY, UT 84102
Mailing Phone
(801) 328-1633
Mailing Fax
(801) 328-4065
Is Sole Proprietor?
Yes
Enumeration Date
09-28-2006
Last Update Date
03-19-2015
Code Navigator

A dentist like Mark Pettit is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
2763579922
License State
UT
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Delta Dental PPO Basic Plan for Families - PPO
  • Delta Dental PPO Preferred Plan for Families - PPO
  • Guardian Choice for Families and Individuals - PPO
  • Guardian Essentials for Families and Individuals - PPO
  • Guardian Preventive Plus for Families and Individuals - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Humana Dental Smart Choice Basic - PPO
  • Humana Dental Smart Choice- Lite - PPO
  • Med Gold 1500 Medical Deductible - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO
  • Value Silver 3000 Medical Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for DR. MARK LOUIS PETTIT DDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760574701
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120107870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 7 + 8 + 7 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1760574701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386629376DR. JESSE GORA PSY.D.
Individual
Psychologist (Clinical)1060 E 100 S SUITE 105
SALT LAKE CITY, UT 84102
(801) 532-7414
1700851854 KRISTIN KAYE MCELWAIN FNP
Individual
Internal Medicine1060 E 100 S L10
SALT LAKE CITY, UT 84102
(801) 328-1260
1518932664 WANDA S UPDIKE MD
Individual
Internal Medicine (Cardiovascular Disease)1060 E 100 S L10
SALT LAKE CITY, UT 84102
(801) 328-1260
1649245705 JOYCE DUNN JOHNSON MD
Individual
Internal Medicine1060 E 100 S L10
SALT LAKE CITY, UT 84102
(801) 328-1260
1538137179DR. MARY K HALES PH.D
Individual
Clinical Neuropsychologist1060 E 100 S SUITE L1
SALT LAKE CITY, UT 84102
(801) 359-6069
1265400568 CHRISTINE W KAPSA N.P.
Individual
Nurse Practitioner (Women's Health)1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1891763199 NATALIE K LOEWEN M.D.
Individual
Obstetrics & Gynecology (Obstetrics)1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1538137625 SHARON K SCHRIEWER M.D.
Individual
Pediatrics1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1437128519 CYNTHIA A. JONES M.D.
Individual
Obstetrics & Gynecology (Obstetrics)1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1255300331 GAYLE M STEWART M.D.
Individual
Obstetrics & Gynecology (Obstetrics)1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1598727588 TOAN LAM M.D.
Individual
Pediatrics1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1730143934 SHEILA BITTLE PHD APRN PMH-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1060 E 100 S #105
SALT LAKE CITY, UT 84102
(801) 532-7414
1346290905 SUZANNE T HOLBROOK M.D.
Individual
Pediatrics1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1598717191 VIRGINIA HIATT N.P.
Individual
Nurse Practitioner (Family)1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640
1225077324MR. FRED B RICHARDS LCSW
Individual
Social Worker (Clinical)1060 E 100 S SUITE 208
SALT LAKE CITY, UT 84102
(801) 532-7414
1538267877MIDDLETON UROLOGICAL ASSOCIATES
Organization
Specialist1060 E 100 S #110
SALT LAKE CITY, UT 84102
(801) 531-9453
1497856868DR. ROBERT S. RICHARDS D.D.S.
Individual
Dentist (Endodontics)1060 E 100 S SUITE 301
SALT LAKE CITY, UT 84102
(801) 322-4501
1619046117DR. DAVID H CANNON DDS
Individual
Dentist (General Practice)1060 E 100 S SUITE 307
SALT LAKE CITY, UT 84102
(801) 363-1321
1235287988DR. KEITH N. WARR D.D.S.
Individual
Dentist (General Practice)1060 E 100 S SUITE 201
SALT LAKE CITY, UT 84102
(801) 355-5385
1790822542MRS. JENNIFER AMY COX MD.
Individual
Pediatrics1060 E 100 S SUITE 400
SALT LAKE CITY, UT 84102
(801) 521-2640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760574701, enumerated in the NPI registry as an "individual" on September 28, 2006

The provider is located at 1060 E 100 S Suite 302 Salt Lake City, Ut 84102 and the phone number is (801) 328-1633

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Delta Dental PPO, Guardian, Humana and Select. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.