CANYON RIVER DENTAL – Dentist, NPI 1821196197

CANYON RIVER DENTAL is a healthcare provider. based in Provo, Utah. specializing in Dentist. The organization holds a License No. 3124349922 (UT). The NPI Number for CANYON RIVER DENTAL is 1821196197

Main info

Organization
Name
CANYON RIVER DENTAL
NPI
1821196197
Phone
(801) 221-5859
Address
3707 N CANYON RD
Authorized Official
DR. RYAN T MANGRUM DENTIST DMD
Enumeration Date
20 September 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CANYON RIVER DENTAL

  • North Canyon Road, Provo, Utah County, Utah, 84604, United States

    SUITE 7D

    PROVO, UT 84604

    Phone: (801) 221-5859

    Fax: (801) 221-7091

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84604)

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Reviews

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Frequently asked questions

How is CANYON RIVER DENTAL identified in CMS data?
CMS-hosted NPPES data lists CANYON RIVER DENTAL with NPI 1821196197.
Is CANYON RIVER DENTAL listed as active for patients and plans?
The listing shows CANYON RIVER DENTAL as active in the NPI system.
What is CANYON RIVER DENTAL's specialty?
The listing groups CANYON RIVER DENTAL with Dentist. Clinical services aligned with this taxonomy classification.
Where is CANYON RIVER DENTAL based?
CANYON RIVER DENTAL is tied to Provo, Utah in the data we show; additional addresses may exist on the full record.
Why does CANYON RIVER DENTAL have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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