OrganizationActive
Bryan E Gottfredson DDS
NPI 1902118557 · General Practice Dentistry · Magna, UT
Provider details
- NPI number
- 1902118557
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bryan Gottfredson, Dentist/ Owner(801) 250-7311
- License
- 360010-9922 (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
Other names (DBA / former)
- Other name
- Main Street Dental of Magna
Registry dates
- Enumerated
- 2010-07-12
- 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.