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General NPI Number Information
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NPI Number | 1710301528
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Entity Type | Individual
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Provider Name | MARCY ALLISON WELLS ROGERS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1388 S NAVAJO ST SUITE C
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City | SALT LAKE CITY
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State | UT
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Zip | 84104-3493
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Country | US
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Telephone | 801-955-2360
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Fax | 801-982-9232
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Provider Business Mailing Address
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Address Line | 4745 S 3200 W
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-2822
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Country | US
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Telephone | 801-858-3461
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Fax | 801-955-2389
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8892642-9922
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License Number State | UT
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