DR. John Robert Gervasi, DDS

NPI #1255909701 in Orem, Utah

Provider Information

NPI Number: 1255909701
Entity Type: Individual
Name: DR. John Robert Gervasi, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: Jun 11, 2021
Last Updated: Jul 26, 2022

Practice Location

Address: 1834 S STATE ST
City: Orem
State: Utah
ZIP Code: 84097-8109
Phone: (801) 302-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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