Basin Family Dental LLC
Basin Family Dental LLC is a Dental Clinic/Center in Roosevelt, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
209 W 200 N # 71Roosevelt, UT 84066-2835
Phone: (435) 722-2111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1295317667 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Bray — Manager · (435) 637-2100 |
| NPI enumerated | April 26, 2021 |
| Last updated in NPPES | April 26, 2021 |
| Certification date | April 26, 2021 |
| Mailing address | 209 W 200 N # 71, Roosevelt, UT 84066-2835 |