GENESIS DENTAL OF OREM LLC NPI 1215107149

NPI Information

GENESIS DENTAL OF OREM, LLC is a general practice dentist in Orem, UT. The provider is 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. GENESIS DENTAL OF OREM, LLC NPI is 1215107149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 E 800 S
OREM, UT
ZIP 84097-386
Phone: (801) 224-9555
Fax: (801) 352-1872

The provider's authorized official is Jason David Casto .
The authorized official title is Owner and has the following contact phone number (801) 870-0625.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/26/2024.

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:

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