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ST. GEORGE RED ROCKS PC NPI 1356084107


NPI Information

NPI: 1356084107
Provider Name: ST. GEORGE RED ROCKS PC

Former Legal Business Name: ST. GEORGE RED ROCKS PC

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
624 S 1000 E STE 107
ST GEORGE, UT
ZIP 84790
Phone: (435) 289-6600
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ST. GEORGE RED ROCKS PC is an oral maxillofacial surgery in St George, UT. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. ST. GEORGE RED ROCKS PC NPI is 1356084107. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is St. George Red Rocks Pc.

The provider's business location address is:

624 S 1000 E STE 107
ST GEORGE, UT
ZIP 84790-902
Phone: (435) 289-6600
Fax: (435) 289-6900

The provider's authorized official is Dayne R Jensen .
The authorized official title is Oral Surgeon/owner and has the following contact phone number (801) 997-9017.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 10/6/2022.


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
1204E00000XOral & Maxillofacial SurgeryYes

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

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