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BASIN FAMILY DENTAL LLC
NPI 1295317667
Clinic/Center - Dental in Roosevelt, UT

Active since April 26, 2021
209 W 200 N # 71, ROOSEVELT, UT 84066(435) 722-2111 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Basin Family Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASIN FAMILY DENTAL LLC (NPI 1295317667) is a healthcare organization registered as a dental in Roosevelt, Utah and active in the NPI registry since April 2021. The organization lists Tiffany Bray, Manager, as its authorized official.

NPPES Registry Identity

NPI1295317667
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBASIN FAMILY DENTAL LLC
Location Address209 W 200 N # 71Roosevelt, UT 84066-2835
Mailing Address209 W 200 N # 71Roosevelt, UT 84066-2835 · (435) 722-2111
Phone(435) 722-2111
Organization SubpartNo
Authorized OfficialTiffany BrayManager · (435) 637-2100
Enumeration DateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1295317667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
209 W 200 N # 71, Roosevelt, UT 84066
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Other Identifiers 1

Medicaid600290118011UT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basin Family Dental LLC's NPI number?

The NPI number for Basin Family Dental LLC is 1295317667. It was assigned to this organization in the NPPES registry on April 26, 2021.

Where is Basin Family Dental LLC located?

Basin Family Dental LLC is located at 209 W 200 N # 71, Roosevelt, UT 84066. The listed phone number is (435) 722-2111.

What is Basin Family Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Basin Family Dental LLC was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.