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

Renaissance Dental & Surgical Arts, Inc

Organization Periodontics · NPI 1851196968

Renaissance Dental & Surgical Arts, Inc is a Periodontics in Provo, Utah. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3707 N Canyon Rd Ste 2A
Provo, UT 84604-4525
Phone: (951) 294-7230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1851196968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gino Reynoso — Owner/Periodontist · (951) 294-7230
NPI enumeratedFebruary 14, 2025
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025
Mailing address258 N 900 E, Salem, UT 84653-5541

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