Healthcare Provider Details
I. General information
NPI: 1821916834
Provider Name (Legal Business Name): OPEN NOW DENTAL OF RIVERTON
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2464 W 12600 S STE 150
RIVERTON UT
84065-7276
US
IV. Provider business mailing address
3081 E 3300 S STE 5211
MILLCREEK UT
84109-2165
US
V. Phone/Fax
- Phone: 385-464-6864
- Fax:
- Phone: 385-446-6864
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
OLDROYD
Title or Position: OWNER
Credential:
Phone: 801-897-1371