Basin Family Dentistry, PC

NPI #1306901566 in Roosevelt, Utah

Provider Information

NPI Number: 1306901566
Entity Type: Organization
Organization Name: Basin Family Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2006
Last Updated: Sep 17, 2013

Practice Location

Address: 209 W 200 N
Address 2: 71-2
City: Roosevelt
State: Utah
ZIP Code: 84066-2835
Phone: (435) 722-2111

Authorized Official

Name: DR. GREGORY GEORGE PAGE, DDS
Title: PRESIDENT
Phone: (435) 722-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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