OrganizationActive
Genesis Dental of Provo
NPI 1629581871 · Dental Clinic/Center · Provo, UT
Provider details
- NPI number
- 1629581871
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Casto, Owner/Member(801) 870-0625
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2255 N University Pkwy Ste 39
Provo, UT 84604-1503
Phone: (801) 319-6743
Street-level locationGet directions
Mailing address
2255 N University Pkwy Ste 39
Provo, UT 84604-1503
Registry dates
- Enumerated
- 2017-11-09
- Last updated
- 2017-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.