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CANYON RIVER DENTAL
NPI 1306088836
Clinic/Center - Dental in Provo, UT

Active since March 30, 2009
3707 N CANYON RD STE 7D, PROVO, UT 84604(801) 221-5859(801) 221-7091 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon River Dental NPPES

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

CANYON RIVER DENTAL (NPI 1306088836) is a healthcare organization registered as a dental in Provo, Utah and active in the NPI registry since March 2009. The organization lists Traci M Franc, Manager, as its authorized official.

NPPES Registry Identity

NPI1306088836
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCANYON RIVER DENTAL
Location Address3707 N CANYON RD STE 7DProvo, UT 84604-4586
Mailing Address3707 N Canyon Rd Ste 7dProvo, UT 84604-4586 · (801) 221-5859 · Fax (801) 221-7091
Phone(801) 221-5859
Fax(801) 221-7091
Organization SubpartNo
Authorized OfficialTraci M FrancManager · (801) 221-5859
Enumeration DateMarch 30, 2009
✔ NPI 1306088836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in UT · 312434
3707 N CANYON RD STE 7D, Provo, UT 84604
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Other Identifiers 1

Medicaid529578391004UT

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 Canyon River Dental's NPI number?

The NPI number for Canyon River Dental is 1306088836. It was assigned to this organization in the NPPES registry on March 30, 2009.

Where is Canyon River Dental located?

Canyon River Dental is located at 3707 N Canyon Rd Ste 7D, Provo, UT 84604. The listed phone number is (801) 221-5859.

What is Canyon River Dental'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 Canyon River Dental was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.