GENESIS DENTAL OF MAGNA LLC NPI 1245588508

NPI Information

GENESIS DENTAL OF MAGNA, LLC is a general practice dentist in Magna, 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 MAGNA, LLC NPI is 1245588508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3665 S 8400 W
SUITE 250
MAGNA, UT
ZIP 84044-907
Phone: (801) 250-0450
Fax: (801) 250-0470

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

The enumeration date for this NPI number is 8/16/2012 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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