| Genesis Dental Of Tooele, Llc | |
|
1204 N Main St Tooele UT 84074-9540 | |
| (435) 882-8600 | |
| (435) 882-8605 |
| Full Name | Genesis Dental Of Tooele, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1204 N Main St, Tooele, Utah |
| Authorized Official Name and Position | Jason D Casto (OWNER/MEMBER) |
| Authorized Official Contact | 8018388030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental Of Tooele, Llc 6087 S Redwood Rd Suite C Taylorsville UT 84123-5330 Ph: (801) 838-8030 | Genesis Dental Of Tooele, Llc 1204 N Main St Tooele UT 84074-9540 Ph: (435) 882-8600 |
| NPI Number | 1629188172 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629188172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Bright Smiles Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S 100 W, Tooele, UT 84074 Phone: 801-870-0625 | |
K T Reese Dds A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 S 200 E, Tooele, UT 84074 Phone: 435-882-0685 Fax: 435-882-8720 | |
Tooele Pdc Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 N Main St, Tooele, UT 84074 Phone: 435-248-0825 Fax: 435-843-5490 | |
Blue Rock Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1887 Aaron Dr Ste A, Tooele, UT 84074 Phone: 435-833-9900 | |
Oquirrah Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 N Main St, Tooele, UT 84074 Phone: 435-579-4600 | |
Bishop Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 W 1180 N # 1, Tooele, UT 84074 Phone: 435-882-8600 Fax: 435-882-8481 |