MEDICARE: DR. MITZI M ROSEL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	9498192-8903	UT
2	1223P0221X	Pediatric Dentistry	6449	AZ

General Provider Information

NPI Number	:	1184622565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITZI M ROSEL DDS

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N MARIO CAPECCHI DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84113-1103
Country	:	US
Telephone Number	:	801-662-3900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	03/03/2026

Similar Medicare Providers

1811844228 — SAMANTHA PAYNE NP
Practice Location Address:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 336-406-5180
Practice Fax:

1609203660 — ANDREW H AVERY PA-C
Practice Location Address:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-662-1000
Practice Fax:

1598763112 — DR. MICHAEL WAYNE BOYER MD
Practice Location Address:

100 N MEDICAL DR , BMT
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-585-3229
Practice Fax: 801-585-3432

1497753354 — MICHAEL BRIAN LLOYD M.D.
Practice Location Address:

100 N MEDICAL DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-587-7575
Practice Fax: 801-285-1704

1033111810 — DR. ANDREW GERALD SMITH M.D.
Practice Location Address:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-662-3673
Practice Fax: 801-662-3664

1225012610 — DR. JEREMY MEIER MD
Practice Location Address:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103

Practice Phone: 801-662-1740
Practice Fax:

Directions to “ DR. MITZI M ROSEL DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.