RENAISSANCE DENTAL & SURGICAL ARTS, INC.
NPI 1851196968
Dentist - Periodontics in Provo, UT

Q: What is Renaissance Dental & Surgical Arts, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since February 14, 2025

3707 N CANYON RD STE 2A, PROVO, UT 84604(951) 294-7230 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Renaissance Dental & Surgical Arts, Inc. NPPES

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

RENAISSANCE DENTAL & SURGICAL ARTS, INC. (NPI 1851196968) is a healthcare organization registered as a periodontics in Provo, Utah and active in the NPI registry since February 2025. The organization lists Gino Antonio Reynoso, Owner/periodontist, as its authorized official.

NPPES Registry Identity

NPI1851196968

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameRENAISSANCE DENTAL & SURGICAL ARTS, INC.

Location Address3707 N CANYON RD STE 2AProvo, UT 84604-4525

Mailing Address258 N 900 ESalem, UT 84653-5541 · (951) 294-7230

Phone(951) 294-7230

Organization SubpartNo

Authorized OfficialGino Antonio ReynosoOwner/periodontist · (951) 294-7230

Enumeration DateFebruary 14, 2025

NPPES CertifiedFebruary 14, 2025

✔ NPI 1851196968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3707 N CANYON RD STE 2A, 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 2

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

DR. HAHNGOO JUSTIN KAHNG DDS

Dentist

3707 N CANYON RD STE 2A
PROVO, UT 84604

Utah County (801) 997-5875

CANYON ROAD DENTAL PLLC

Dentist (General Practice)

3707 N CANYON RD STE 2A
PROVO, UT 84604

Utah County (801) 997-6728

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 Renaissance Dental & Surgical Arts, Inc.'s NPI number?

The NPI number for Renaissance Dental & Surgical Arts, Inc. is 1851196968. It was assigned to this organization in the NPPES registry on February 14, 2025.

Where is Renaissance Dental & Surgical Arts, Inc. located?

Renaissance Dental & Surgical Arts, Inc. is located at 3707 N Canyon Rd Ste 2A, Provo, UT 84604. The listed phone number is (951) 294-7230.

What is Renaissance Dental & Surgical Arts, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Renaissance Dental & Surgical Arts, Inc. was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.