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Dr. John Robert Gervasi, DDS
Student in an Organized Health Care Education/Training Program in Orem, Utah
NPI 1255909701

John Robert Gervasi is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. John Robert Gervasi practices in Orem, UT and has the professional credentials of DDS. The NPI Number for John Robert Gervasi is 1255909701 and holds a License No. 12773533-9922 (Utah).

The current practice location address for John Robert Gervasi is 1834 S State St, Orem, UT and can be reached out via phone at 801-302-2600.

Location: 1834 S State St, Orem, UT, 84117-4161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255909701
Provider Name
John Robert Gervasi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1834 S State St, Orem, UT, 84117-4161
Phone Number
801-302-2600
Fax Number
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1834 S State St
City
Orem
State
Utah
Zip
84097-8109
Phone Number
801-302-2600
Fax Number
person
Provider Business Mailing Address Details
Address
1834 S State St
City
Orem
State
Utah
Zip
84097-8109
Phone Number
801-302-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12773533-9922 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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