Gaylen S. Asay, D.D.S.

Individual provider Active NPI General Practice Dentistry · Bountiful, UT

NPI 1851497366 · NPPES record last updated Oct 12, 2020

Key facts

NPI
1851497366
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
142098 (UT)
Practice address
1459 N Main St Ste 3
Bountiful, UT 84010-6092
Phone
(801) 292-4440
Fax
(801) 292-5665
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
142098UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bountiful PDC PLLC Current
since Oct 8, 2023
Accepting new patients

Locations

1459 N Main St
Ste 3
Bountiful, UT 84010
Phone (801) 292-4440

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 142098 UT Yes

Addresses

Primary practice location

1459 N Main St Ste 3
Bountiful, UT 84010-6092

Mailing address

1459 N Main St Ste 3
Bountiful, UT 84010-6092
Phone (801) 292-4440

Other names

  • Gaylen S Asay Other name

Other providers in Bountiful, UT

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

Sources for this page

Verify at the official NPI Registry.