NPI 1215320775

Dental Center of St. George LLC

Organisation Health Maintenance Organization St George, UT

Practice location

Address: 321 N Mall Dr #p101, St George, UT 84790-7302
Phone: (435) 673-4809
Fax: (435) 628-5939

Authorised official

Name: Jackie Imlay
Title: Owner
Phone: (435) 673-4809

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 0035640 (UT)

Other Health Maintenance Organization providers in Utah →

Registry record

NPI: 1215320775
Entity type: Organization
NPI issued: 9 Mar 2015
Record last updated: 9 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.