GENESIS DENTAL OF RIVERTON


Address: 11428 South Parkway Plaza Drive, Suite 400, South Jordan, UT 84095
Phone: 8012547272

GENESIS DENTAL OF RIVERTON (NPI# 1427452614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427452614
Entity Type Organization
Organization Name GENESIS DENTAL OF RIVERTON
Other Organization Name GENESIS DENTAL AT THE DISTRICT
Practice Address 11428 South Parkway Plaza Drive
Suite 400
South Jordan
UT 84095
Mailing Address 6087 S Redwood Rd
Suite C
Taylorsville
UT 84123-6853
Practice Telephone 8012547272
Practice Fax Number 8012546565
Mailing Telephone 8013521300
Mailing Fax Number 8012859170
Enumeration Date 2014-10-16
Last Update Date 2014-10-20
Authorized Official Name MR. JASON DAVID CASTO (MEMBER/OWNER)
Authorized Official Telephone 8018700625
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Genesis Dental at The District Doing Business As Name - Organization

Office Location

Street Address 11428 SOUTH PARKWAY PLAZA DRIVE
SUITE 400
City SOUTH JORDAN
State UT
Zip Code 84095

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033745393 Beverly Laraine Williams Social Worker 11260 S River Heights Drive, South Jordan, UT 84095 2020-03-19
1265902902 Sarah Richele Kelley Specialist/Technologist 10236 Alder Grovey Way, South Jordan, UT 84095 2018-11-26
1326528837 Kristi Couse Massage Therapist 10679 S 2200 W Apt 2, South Jordan, UT 84095 2018-08-15
1821516063 River Crossing Dental Professional Corporation Clinic/Center 12427 South 4000 West, Suite #200, Riverton, UT 84095 2017-09-08
1245755719 Staci Stout Dental Hygienist 3113 W Swiss Pass Cir, South Jordan, UT 84095 2017-08-07
1437698750 Ryan Sears Dentist 10894 So. River Front Parkway, South Jordan, UT 84095 2017-02-20
1366989931 Ultimate Sports Regenerative Medicine Chiropractor 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 2017-01-20
1306393889 Tal Quirl Optometrist 3571 W. 10400 S., South Jordan, UT 84095 2016-09-01
1023562667 Sevon Taroian Social Worker 11260 River Heights Drive, South Jordan, UT 84095 2016-08-11
1952762932 Megan Buckley Developmental Therapist 881 Baxter Drive, Ste 100, South Jordan, UT 84095 2016-03-17
Find all providers in zip 84095

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700409695 Wasatch Dental Group LLC Dentist 1685 W Towne Center Dr, South Jordan, UT 84095-8697 2020-05-26
1760022768 Sojo Dental Dentist 3473 W South Jordan Parkway, Ste. 2, South Jordan, UT 84095-6016 2020-01-08
1730745456 Michael Thomas Dentist 4775 W Daybreak Pkwy Ste 201, South Jordan, UT 84009-5140 2019-05-17
1710479795 Lee Hoang Mai Dentist 3672 W South Jordan Pkwy Ste 104, South Jordan, UT 84009-7172 2018-06-05
1902321045 Clark Dental P.C. Dentist 10597 S Beach Comber Way, South Jordan, UT 84009-6132 2017-08-10
1063949782 Joby Chaluparambil Dentist 11758 S District Dr, Unit 702, South Jordan, UT 84095-6041 2017-05-11
1871978981 Jacob Boyack Dentist 2651 W South Jordan Pkwy Ste 203, South Jordan, UT 84095-8968 2015-07-30
1336573120 James R Donahoo Dentist 10894 S. River Front Parkway, South Jordan, UT 84095 2013-08-28
1881953966 David Densley Dentist Roseman University, 10920 S River Front Pkwy, South Jordan, UT 84095 2012-05-10
1346510054 Richard D Tuttle Dentist 505 W 10200 S, South Jordan, UT 84095-3935 2012-01-11
Find all providers in SOUTH JORDAN

Competitor

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City SOUTH JORDAN
Zip Code 84095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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