OrganizationActive
Basin Family Dental LLC
NPI 1295317667 · Dental Clinic/Center · Roosevelt, UT
Basin Family Dental LLC is a Dental Clinic/Center organization in Roosevelt, UT (NPI 1295317667).
Provider details
- NPI number
- 1295317667
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Bray, Manager(435) 637-2100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
209 W 200 N # 71
Roosevelt, UT 84066-2835
Phone: (435) 722-2111
Street-level locationGet directions
Mailing address
209 W 200 N # 71
Roosevelt, UT 84066-2835
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Frequently asked questions
- What is Basin Family Dental LLC's NPI number?
- Basin Family Dental LLC's National Provider Identifier (NPI) is 1295317667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Basin Family Dental LLC?
- Basin Family Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Basin Family Dental LLC located?
- Basin Family Dental LLC's practice location on file with NPPES is 209 W 200 N # 71, Roosevelt, UT 84066-2835.
- What is Basin Family Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Basin Family Dental LLC is (435) 722-2111.
- Who is the authorized official for Basin Family Dental LLC?
- The authorized official listed on Basin Family Dental LLC's NPPES record is Tiffany Bray, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Basin Family Dental LLC's NPI active?
- Yes — Basin Family Dental LLC's NPI (1295317667) is active in the NPPES registry as of the last update on 2021-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.