| Wisdom Teeth Of Southern Utah | |
|
446 S Mall Dr Ste 100 St George UT 84790-4944 | |
| (435) 673-3490 | |
| (435) 627-9954 |
| Full Name | Wisdom Teeth Of Southern Utah |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 446 S Mall Dr Ste 100, St George, Utah |
| Authorized Official Name and Position | Dayne Jensen (OWNER) |
| Authorized Official Contact | 4356733490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Teeth Of Southern Utah 446 S Mall Dr Ste 100 St George UT 84790-4944 Ph: (435) 673-3490 | Wisdom Teeth Of Southern Utah 446 S Mall Dr Ste 100 St George UT 84790-4944 Ph: (435) 673-3490 |
| NPI Number | 1467916528 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467916528 | NPI | - | NPPES |
| 1881926509 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Dixie Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 E Tabernacle, St George, UT 84770 Phone: 435-688-1400 Fax: 435-688-1408 | |
Red Cliffs Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 N Mall Dr, St George, UT 84790 Phone: 435-628-5496 Fax: 435-628-6285 | |
Smile Med Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 S Valley View Dr Ste 2, St George, UT 84770 Phone: 975-905-0864 Fax: 214-594-0006 | |
Half Dental St. George Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 E 600 S, Suite 1, St George, UT 84770 Phone: 435-656-3868 Fax: 435-656-3870 | |
Dixie Pediatric Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 E Riverside Dr, Building 6, St George, UT 84790 Phone: 435-688-8827 Fax: 435-688-8826 | |
Brian L. Beckstrom P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1091 N Bluff St, Suite 550, St George, UT 84770 Phone: 435-628-6200 Fax: 435-652-9051 | |
St. George Kids Dental Downtown Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 754 S Main St Ste 2, St George, UT 84770 Phone: 435-673-9922 Fax: 435-673-9411 |