Healthcare Provider Details

I. General information

NPI: 1326956426
Provider Name (Legal Business Name): GUNNISON VALLEY FAMILY DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 N 100 E
GUNNISON UT
84634-7720
US

IV. Provider business mailing address

PO BOX 386
GUNNISON UT
84634-0386
US

V. Phone/Fax

Practice location:
  • Phone: 435-528-7316
  • Fax:
Mailing address:
  • Phone: 435-528-7316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: CUTLER FRANDSEN
Title or Position: DENTIST
Credential: DDS
Phone: 435-528-7316