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Forever Young Dentistry Pllc

Dental Clinic/Center in Provo, UT · enumerated 2015 · authorized official Reyna Madriles, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508236795

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Registry record

Entity type Organization (Type 2)
Legal business name Forever Young Dentistry Pllc
Parent organization Forever Young Dentistry
Practice address 2335 S. State Street, Ste #200, Provo, UT, 84606
Phone (801) 225-1630
Fax (801) 225-1630
Enumeration date Sep 30, 2015
Last updated in NPPES Sep 30, 2015

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Reyna Madriles
Title Co-Owner
Phone (801) 225-1630

Other identifiers

Identifier Type State Issuer
564618729-001 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Forever Young Dentistry Pllc?
NPPES lists Reyna Madriles (Co-Owner) as the authorized official for this organization.
What is the NPI number for Forever Young Dentistry Pllc?
The NPI for Forever Young Dentistry Pllc is 1508236795, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-30.