GENESIS DENTAL OF TAYLORSVILLE NPI 1609986140

NPI Information

GENESIS DENTAL OF TAYLORSVILLE is a general practice dentist in Taylorsville, 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 TAYLORSVILLE NPI is 1609986140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6087 S REDWOOD RD
SUITE A
TAYLORSVILLE, UT
ZIP 84123-330
Phone: (801) 969-7282
Fax: (801) 957-0411

The provider's authorized official is Jason D Casto .
The authorized official title is Owner/member and has the following contact phone number (801) 838-8030.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.

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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