Healthcare Provider Details

I. General information

NPI: 1083549455
Provider Name (Legal Business Name): DANA LEIGH GUENTHER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2274 N WASHINGTON BLVD STE 204
NORTH OGDEN UT
84414-7378
US

IV. Provider business mailing address

4493 WALNUT GROVE RD
MEMPHIS TN
38117-2449
US

V. Phone/Fax

Practice location:
  • Phone: 801-399-0458
  • Fax:
Mailing address:
  • Phone: 708-638-3394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14291314-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: