Bryan E Gottfredson DDS

General Practice Dentistry · Magna, UT

Organization Active NPI

NPI number 1902118557

Practice location

9010 W 2700 S
Magna, UT 84044-1002
Phone
(801) 250-7311
Fax
(801) 250-3801

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NPI record

NPI
1902118557
Entity type
Organization (Type 2)
Enumeration date
July 12, 2010
Last updated
July 12, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 360010-9922 UT

Authorized official

Name
Dr. Bryan Elden Gottfredson, DDS
Title
Dentist/ Owner
Phone
(801) 250-7311

Other names

  • Main Street Dental of Magna

About Bryan E Gottfredson DDS

Bryan E Gottfredson DDS is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 9010 W 2700 S, Magna, UT 84044-1002. The NPI number 1902118557 was assigned on July 12, 2010 and the record was last updated on July 12, 2010.

Bryan E Gottfredson DDS lists a license in the registry: #360010-9922 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Bryan Elden Gottfredson, DDS, Dentist/ Owner.

Frequently asked questions

What is the NPI number of Bryan E Gottfredson DDS?

The NPI number is 1902118557.

What is the phone number of Bryan E Gottfredson DDS?

The phone number listed for the practice location is (801) 250-7311.

Where is Bryan E Gottfredson DDS located?

9010 W 2700 S, Magna, UT 84044-1002.

What is the taxonomy code for Bryan E Gottfredson DDS?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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