CANYON RIVER DENTAL
NPI 1821196197
Dentist in Provo, UT

Q: What is Canyon River Dental's NPI number?

The NPI number for Canyon River Dental is 1821196197. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Canyon River Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 20, 2006

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

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Canyon River Dental NPPES

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

CANYON RIVER DENTAL (NPI 1821196197) is a healthcare organization registered as a dentist in Provo, Utah and active in the NPI registry since September 2006. The organization lists Ryan T Mangrum, Dentist, as its authorized official.

NPPES Registry Identity

NPI1821196197

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCANYON RIVER DENTAL

Location Address3707 N CANYON RD, SUITE 7DProvo, UT 84604

Mailing Address3707 N Canyon Rd, Suite 7dProvo, UT 84604 · (801) 221-5859 · Fax (801) 221-7091

Phone(801) 221-5859

Fax(801) 221-7091

Organization SubpartNo

Authorized OfficialRyan T MangrumDentist · (801) 221-5859

Enumeration DateSeptember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1821196197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 3124349922

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3707 N CANYON RD, Provo, UT 84604

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Other Identifiers 1

Medicaid529578391004UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

CANYON RIVER DENTAL

Dentist (General Practice)

3707 N CANYON RD, SUITE 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

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 1821196197. It was assigned to this organization in the NPPES registry on September 20, 2006.

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 with taxonomy code 122300000X.

What insurance does Canyon River Dental accept?

Health plans from UnitedHealthcare list Canyon River Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyon River Dental was last updated on August 22, 2020. 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.