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GENESIS DENTAL OF TOOELE, LLC
NPI 1629188172
Dentist - General Practice in Tooele, UT

Active since August 30, 2006
1204 N MAIN ST, TOOELE, UT 84074(435) 882-8600(435) 882-8605 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Dental Of Tooele, Llc NPPES

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

GENESIS DENTAL OF TOOELE, LLC (NPI 1629188172) is a healthcare organization registered as a general practice in Tooele, Utah and active in the NPI registry since August 2006. The organization lists Jason D Casto, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1629188172
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGENESIS DENTAL OF TOOELE, LLC
Location Address1204 N MAIN STTooele, UT 84074-9540
Mailing Address6087 S Redwood Rd, Suite CTaylorsville, UT 84123-5330 · (801) 838-8030 · Fax (801) 352-1872
Phone(435) 882-8600
Fax(435) 882-8605
Organization SubpartNo
Authorized OfficialJason D CastoOwner/member · (801) 838-8030
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629188172 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.
1204 N MAIN ST, Tooele, UT 84074
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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 2

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

TOOELE DENTAL OFFICE, LLC
Dentist
1204 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 579-4600
DR. JOHN LYMAN BISHOP DMD
Dentist (General Practice)
1204 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 882-8600

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 Genesis Dental Of Tooele, LLC's NPI number?

The NPI number for Genesis Dental Of Tooele, LLC is 1629188172. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Genesis Dental Of Tooele, LLC located?

Genesis Dental Of Tooele, LLC is located at 1204 N Main St, Tooele, UT 84074. The listed phone number is (435) 882-8600.

What is Genesis Dental Of Tooele, LLC'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 Genesis Dental Of Tooele, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.