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

Genesis Dental of Salt Lake, LLC

Organization General Practice Dentistry · NPI 1710095781

Genesis Dental of Salt Lake, LLC is a General Practice Dentistry in Salt Lake City, Utah. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

420 E South Temple Ste 220
Salt Lake City, UT 84111-1329
Phone: (801) 355-3286
Fax: (801) 355-1320
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 number1710095781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Casto — Owner/Member · (801) 870-0625
NPI enumeratedAugust 29, 2006
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address12180 S 300 E Unit 270, Draper, UT 84020-2612

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