OrganizationActive
Canyon Road Dental PLLC
NPI 1700450905 · General Practice Dentistry · Provo, UT
Canyon Road Dental PLLC is a General Practice Dentistry organization in Provo, UT (NPI 1700450905).
Provider details
- NPI number
- 1700450905
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Faith Gaskins, Director of Credentialing(972) 869-3789
Specialties & taxonomies
Dental Providers
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
3707 N Canyon Rd Ste 2a
Provo, UT 84604-4525
Phone: (801) 997-6728
Fax: (385) 374-1555
Street-level locationGet directions
Mailing address
3707 N Canyon Rd Ste 2a
Provo, UT 84604-4525
Other names (DBA / former)
- Doing business as
- Canyon Road Dental
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2021-05-13
- Certified
- 2021-05-13
Frequently asked questions
- What is Canyon Road Dental PLLC's NPI number?
- Canyon Road Dental PLLC's National Provider Identifier (NPI) is 1700450905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Road Dental PLLC?
- Canyon Road Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Canyon Road Dental PLLC located?
- Canyon Road Dental PLLC's practice location on file with NPPES is 3707 N Canyon Rd Ste 2a, Provo, UT 84604-4525.
- What is Canyon Road Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Road Dental PLLC is (801) 997-6728.
- Who is the authorized official for Canyon Road Dental PLLC?
- The authorized official listed on Canyon Road Dental PLLC's NPPES record is Faith Gaskins, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Road Dental PLLC's NPI active?
- Yes — Canyon Road Dental PLLC's NPI (1700450905) is active in the NPPES registry as of the last update on 2021-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.