MICHAEL A GLADWELL D.M.D. MD NPI 1639250673

NPI Information

  • NPI: 1639250673
  • Provider Name: MICHAEL A GLADWELL, D.M.D., MD
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • Address: 1250 E 3900 S STE 360
    SALT LAKE CITY, UT
    ZIP 84124
  • Phone: (801) 262-7447

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NPI Details

Michael A Gladwell, D.M.D., MD is an oral maxillofacial surgery in Salt Lake City, UT. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Michael A Gladwell, D.M.D., MD NPI is 1639250673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1250 E 3900 S STE 360
SALT LAKE CITY, UT
ZIP 84124-362
Phone: (801) 262-7447

The enumeration date for this NPI number is 10/18/2006 and was last updated on 11/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryD12291MINNESOTANo
2204E00000XOral & Maxillofacial Surgery347697-9924UTAHNo
3204E00000XOral & Maxillofacial Surgery54113MINNESOTANo
4204E00000XOral & Maxillofacial Surgery347697-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133828100MEDICAIDWISCONSIN
2935190000MEDICAIDMINNESOTA
3ENROLLEDMEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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