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CANYON RIVER DENTAL
NPI 1306277546
Dentist - General Practice in Provo, UT

Active since December 12, 2013
3707 N CANYON RD, SUITE 7D, PROVO, UT 84604(801) 221-5859(801) 221-7091 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canyon River Dental NPPES

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

CANYON RIVER DENTAL (NPI 1306277546) is a healthcare organization registered as a general practice in Provo, Utah and active in the NPI registry since December 2013. The organization lists Mark C Lomenick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306277546
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCANYON RIVER DENTAL
Location Address3707 N CANYON RD, SUITE 7DProvo, UT 84604-4592
Mailing Address3707 N Canyon Rd, Suite 7dProvo, UT 84604-4592 · (801) 221-5859 · Fax (801) 221-7091
Phone(801) 221-5859
Fax(801) 221-7091
Organization SubpartYesParent: El Al Chinn Eem
Authorized OfficialMark C LomenickCfo · (801) 221-5859
Enumeration DateDecember 12, 2013
✔ NPI 1306277546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3707 N CANYON RD, Provo, UT 84604
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GORDON J CHRISTENSEN DDS
Dentist (Prosthodontics)
3707 N CANYON RD, SUITE 3A
PROVO, UT 84604
Utah County (801) 226-5315
DR. ANDREW E JOHNSON DDS
Dentist (General Practice)
3707 N CANYON RD, 7D
PROVO, UT 84604
Utah County (801) 221-5859
DR. DAVID M. CHRISTIANSEN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
3707 N CANYON RD, SUITE 8D
PROVO, UT 84604
Utah County (801) 224-9900
CANYON RIVER DENTAL
Dentist
3707 N CANYON RD, SUITE 7D
PROVO, UT 84604
Utah County (801) 221-5859
GORDON J. CHRISTENSEN DDS PHD PC
Dentist (Prosthodontics)
3707 N CANYON RD, SUITE 4
PROVO, UT 84604
Utah County (801) 226-5315

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 1306277546. It was assigned to this organization in the NPPES registry on December 12, 2013.

Where is Canyon River Dental located?

Canyon River Dental is located at 3707 N Canyon Rd Suite 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 Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Canyon River Dental was last updated on December 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.