NPI 1255857728

Simply Wisdom Teeth PLLC

Organisation Dental Clinic/Center Saint George, UT

Practice location

Address: 352 E Riverside Dr STE A9, Saint George, UT 84790-5812
Phone: (435) 652-1243
Fax: (435) 652-1243

Authorised official

Name: Niels Hendrickson
Title: Manager
Phone: (435) 215-6621

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 143297 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1255857728
Entity type: Organization
NPI issued: 16 Aug 2017
Record last updated: 21 Jul 2022

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.