Provider Type Icon

DIXIE PEDIATRIC DENTAL NPI 1164837621


NPI Information

NPI: 1164837621
Provider Name: DIXIE PEDIATRIC DENTAL
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 46D0525905

Address:
368 E RIVERSIDE DR
BUILDING 6
ST GEORGE, UT
ZIP 84790
Phone: (435) 688-8827
Get Directions

DIXIE PEDIATRIC DENTAL is a pediatric dentistry dentist in St George, UT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DIXIE PEDIATRIC DENTAL NPI is 1164837621. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

368 E RIVERSIDE DR
BUILDING 6
ST GEORGE, UT
ZIP 84790-896
Phone: (435) 688-8827
Fax: (435) 688-8826

The provider's authorized official is Brett Kendall Christensen .
The authorized official title is Owner and has the following contact phone number (435) 688-8827.

The CLIA number assigned to this NPI record is 46D0525905 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/24/2014 and was last updated on 6/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry5336153UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.