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

Forever Young Dentistry PLLC

Organization Dental Clinic/Center · NPI 1508236795

Forever Young Dentistry PLLC is a Dental Clinic/Center in Provo, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2335 S State St Ste #200
Provo, UT 84606
Phone: (801) 225-1630
Fax: (801) 225-1630
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 (UT)

Record details

NPI number1508236795
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationForever Young Dentistry
Authorized official Reyna Madriles — Co-Owner · (801) 225-1630
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 30, 2015
Mailing address2335 S. State Street, Ste #200, Provo, UT 84606

Other providers in Provo