Genesis Dental of Taylorsville

Organization Active NPI General Practice Dentistry · Taylorsville, UT

NPI 1609986140 · NPPES record last updated Mar 26, 2024

Key facts

NPI
1609986140
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
GENESIS DENTAL OF TAYLORSVILLE
Practice address
6087 S Redwood Rd
Suite a
Taylorsville, UT 84123-5330
Phone
(801) 969-7282
Fax
(801) 957-0411
NPI assigned
Aug 30, 2006
Organization subpart
No

Authorized official

Name
Mr. Jason D Casto
Title
Owner/Member
Phone
(801) 870-0625

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6087 S Redwood Rd
Ste A
Taylorsville, UT 84123
Phone (801) 838-8030

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

6087 S Redwood Rd
Suite a
Taylorsville, UT 84123-5330

Mailing address

12180 S 300 E Unit 270
Draper, UT 84020-2612
Phone (801) 870-0625

Other providers in Taylorsville, UT

All providers in Taylorsville, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.