IndividualActive
Bryan Gottfredson, DDS
NPI 1174501688 · General Practice Dentistry · Magna, UT
Provider details
- NPI number
- 1174501688
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 360010 (UT)
Specialties & taxonomies
Dental Providers
Practice location
9010 W 2700 S
Magna, UT 84044-1002
Phone: (801) 250-7311
Fax: (801) 250-3801
Approximate (ZIP-level) locationGet directions
Mailing address
9010 W 2700 S
Magna, UT 84044-1002
Registry dates
- Enumerated
- 2006-01-04
- Last updated
- 2010-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.