Red Cliffs Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

309573-9923 Issued in UT

Legal business name

RED CLIFFS DENTAL

Practice address

321 N Mall Dr
St George, UT 84790-7302

Phone

(435) 628-5496

Fax

(435) 628-6285

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly J. Olsen, D.D.S.NPI 1407902950

Title

Doctor of Dental Surgery

Phone

(435) 628-5496

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly J. Olsen, D.D.S.

  • General Practice Dentistry
  • St George, UT
  • NPI 1407902950
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023143088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MALL DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907302",
            "telephone_number": "435-628-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907302",
            "telephone_number": "435-628-5496",
            "fax_number": "435-628-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CLIFFS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR OF DENTAL SURGERY",
        "authorized_official_telephone_number": "435-628-5496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "309573-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise Record
• Christopher Record
• Red Cliff Pediatric Dental (Johnson Pediatric Dentistry)
• Red Cliffs Administrative Services
• Red Cliffs Anesthesia, Inc
• Red Cliffs Eye Center, PLLC
• Red Cliffs Family Pharmacy, Inc
• Red Cliffs Healthcare, Inc. (Coral Desert Therapy)
• Red Cliffs Healthcare, Inc. (Coral Desert Rehabilitation and Care)
• Red Cliffs Regional, Inc.

• General Practice Dentistry in St George, UT
• Providers in St George, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.