Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Road Dental PLLC

Organization General Practice Dentistry · NPI 1700450905

Canyon Road Dental PLLC is a General Practice Dentistry in Provo, Utah. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3707 N Canyon Rd Ste 2A
Provo, UT 84604-4525
Phone: (801) 997-6728
Fax: (385) 374-1555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1700450905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faith Gaskins — Director Of Credentialing · (972) 869-3789
Other names Canyon Road Dental
NPI enumeratedMay 13, 2021
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing address3707 N Canyon Rd Ste 2a, Provo, UT 84604-4525

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