MAIN STREET DENTAL OF MAGNA
NPI 1902118557
Dentist - General Practice in Magna, UT

Q: What is Bryan E Gottfredson Dds's NPI number?

The NPI number for Bryan E Gottfredson Dds is 1902118557. It was assigned to this organization in the NPPES registry on July 12, 2010. The provider is also known as Main Street Dental Of Magna.

Q: What is Bryan E Gottfredson Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 12, 2010

9010 W 2700 S, MAGNA, UT 84044(801) 250-7311(801) 250-3801 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Main Street Dental Of Magna NPPES

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

MAIN STREET DENTAL OF MAGNA (NPI 1902118557) is a healthcare organization registered as a general practice in Magna, Utah and active in the NPI registry since July 2010. The organization lists Bryan Elden Gottfredson, Dentist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1902118557

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBRYAN E GOTTFREDSON DDS

Location Address9010 W 2700 SMagna, UT 84044-1002

Mailing Address9010 W 2700 SMagna, UT 84044-1002 · (801) 250-7311 · Fax (801) 250-3801

Phone(801) 250-7311

Fax(801) 250-3801

Organization SubpartNo

Authorized OfficialBryan Elden GottfredsonDentist/ Owner · (801) 250-7311

Enumeration DateJuly 12, 2010

✔ NPI 1902118557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 360010-9922

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.

9010 W 2700 S, Magna, UT 84044

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Other Names 1

Other NameMain Street Dental Of Magna

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

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

DR. BRYAN E GOTTFREDSON DDS

Dentist (General Practice)

9010 W 2700 S
MAGNA, UT 84044

Salt Lake County (801) 250-7311

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 Bryan E Gottfredson Dds's NPI number?

The NPI number for Bryan E Gottfredson Dds is 1902118557. It was assigned to this organization in the NPPES registry on July 12, 2010. The provider is also known as Main Street Dental Of Magna.

Where is Bryan E Gottfredson Dds located?

Bryan E Gottfredson Dds is located at 9010 W 2700 S, Magna, UT 84044. The listed phone number is (801) 250-7311.

What is Bryan E Gottfredson Dds'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 Bryan E Gottfredson Dds was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.