St. George Kids Dental Downtown PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ST. GEORGE KIDS DENTAL DOWNTOWN PLLC

Practice address

754 S Main St Ste 2
St George, UT 84770-5506

Phone

(435) 673-9922

Fax

(435) 673-9411

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By 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. Trent Graff Pryor, DMD

Title

Owner

Phone

(208) 329-4580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1184474975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 S MALL DR STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904944",
            "telephone_number": "435-673-3490",
            "fax_number": "435-627-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST STE 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705506",
            "telephone_number": "435-673-9922",
            "fax_number": "435-673-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE KIDS DENTAL DOWNTOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "GRAFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-329-4580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in St George, UT
• Providers in St George, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.