DR. JOHN GERVASI, DDS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1255909701

Practice Address

1834 S STATE ST
Orem, UT 84097

Phone: (801) 302-2600

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 12773533-9922 (UT)
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1255909701 is the National Provider Identifier for DR. JOHN GERVASI, DDS, a Student in an Organized Health Care Education/Training Program provider located in Orem, UT. This NPI was enumerated on June 11, 2021.
DR. JOHN GERVASI, DDS practices at 1834 S STATE ST, Orem, UT 84097.

Quick Facts

NPI
1255909701
Type
Individual
Enumerated
Jun 11, 2021
Last Updated
Jul 26, 2022

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