1427452614 NPI number — GENESIS DENTAL OF SOUTH JORDAN

Table of content: (NPI 1427452614)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427452614 NPI number — GENESIS DENTAL OF SOUTH JORDAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENESIS DENTAL OF SOUTH JORDAN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427452614
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12180 S 300 E UNIT 270
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DRAPER
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84020-2612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-870-0625
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11531 S DISTRICT DR STE 600
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH JORDAN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84095-5782
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-254-7272
Provider Business Practice Location Address Fax Number:
801-254-6565
Provider Enumeration Date:
10/16/2014

Additional Information

Authorized Official

Authorized Official Last Name:
CASTO
Authorized Official First Name:
JASON
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
MEMBER/OWNER
Authorized Official Telephone Number:
801-870-0625

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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