Vip Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

133468 Issued in UT

Legal business name

VIP DENTAL, INC.

Doing business as

VIP Dental

Practice address

330 East Tabernacle
Saint George, UT 84770

Phone

(435) 673-3211

Fax

(435) 673-9763

NPI assigned

Nov 9, 2011

Organization subpart

No

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

Authorized official

Name

Verd Jene Erickson, DDS

Title

Dentist/Owner

Phone

(435) 673-3211

Specialties & licenses 1

Addresses

Other names 1

• VIP Dental Doing business as

Tax ID family

I Smile at Vip Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• I Smile at Vip Dental PLLC

  • General Practice Dentistry
  • St George, UT
  • NPI 1689082059
  NPD tax ID

Locations

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1255618914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 EAST TABERNACLE",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-673-3211",
            "fax_number": "435-673-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 EAST TABERNACLE",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-673-3211",
            "fax_number": "435-673-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "VERD",
        "authorized_official_middle_name": "JENE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "435-673-3211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "133468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vision Care 20/20, PC
• Visiting Physician Services LLC
• Vive Care
• Hunter Von Axelson

• General Practice Dentistry in Saint George, UT
• Providers in Saint 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 Nov 9, 2011; 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.