GENESIS ORTHODONTICS LLC NPI 1609372903

NPI Information

NPI: 1609372903
Provider Name: GENESIS ORTHODONTICS, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3725 W 4100 S STE 240
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 969-9070
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GENESIS ORTHODONTICS, LLC is a dental clinic center in West Valley City, UT. GENESIS ORTHODONTICS, LLC NPI is 1609372903. The provider is registered as an organization entity type.

The provider's business location address is:

3725 W 4100 S STE 240
WEST VALLEY CITY, UT
ZIP 84120-530
Phone: (801) 969-9070

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 4/4/2018 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	144139	UTAH	Yes

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: 4/28/2024

NPI Synchronization or Removal

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