Canyon Crest Dental PC
Clinic/Center, Dental in Lehi, UT. Organization (NPI-2).
NPI number1982123923
StatusActive
Last updated in NPPESSep 11, 2017
Details
- NPI
- 1982123923
- Entity type
- Organization (NPI-2)
- Legal business name
- Canyon Crest Dental PC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2017
- Last updated
- Sep 11, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 9540983-9922 | UT | Yes |
Practice location
1899 W Traverse Pkwy Ste BLehi, UT 84043-5995
Phone 801-597-4570
Mailing address
1899 W Traverse Pkwy Ste BLehi, UT 84043-5995
Authorized official
Geoffrey Grant
President
8015974570
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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