I Smile at Vip Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

133468-8903 Issued in UT

Legal business name

I SMILE AT VIP DENTAL PLLC

Practice address

330 E Tabernacle St
Suite #1
St George, UT 84770-3093

Phone

(435) 673-3211

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By 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. Verd Erickson, DDS

Title

Dentist

Phone

(435) 673-3211

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Vip Dental, Inc.

  dba VIP Dental

  • General Practice Dentistry
  • St George, UT
  • NPI 1255618914
  NPD tax ID

Locations

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1689082059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E TABERNACLE ST",
            "address_2": "SUITE #1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703093",
            "telephone_number": "435-673-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E TABERNACLE ST",
            "address_2": "SUITE #1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703093",
            "telephone_number": "435-673-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SMILE AT VIP DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "VERD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "435-673-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "133468-8903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520387276",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanne Hyde
• Riley Hyer
• Dillon Hyland, ATC
• Jennifer Hymas, CSW
• I Clark Labrum DC PC
• Mitchell Iafeta
• Hiba Iarochen
• Ideal Hearing Solutions LLC (Miracle-Ear)
• Ihc Health Services Inc (St George Palliative Care)
• Ihc Health Services Inc (St George Maternal Fetal Medicine)

• 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 Jul 29, 2014; 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.