Children'S Dental of Southern Utah

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6329558-9923 Issued in UT

Legal business name

CHILDREN'S DENTAL OF SOUTHERN UTAH

Practice address

2746 E 850 N
St George, UT 84790-5839

Phone

(435) 673-7776

Fax

(435) 627-2592

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Jack Scholzen, DMDNPI 1063596104

Title

Doctor / Owner

Phone

(435) 673-7776

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.

• Jeremy Scholzen, DMD

  • Pediatric Dentistry
  • Hurricane, UT
  • NPI 1063596104
  NPD (past) Authorized official

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1891101572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 700 W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372423",
            "telephone_number": "435-673-7776",
            "fax_number": "435-627-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 E 850 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905839",
            "telephone_number": "435-673-7776",
            "fax_number": "435-627-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL OF SOUTHERN UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "SCHOLZEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "435-673-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "6329558-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Cherry
• Mary Kambri Cherry
• Laura Chevreaux, PT
• Aleyah Chico
• Steven Blair Child, LCSW
• Callysta Childress
• Barbara Chilow, L.C.S.W.
• Jared Cory Chin, DO
• Christopher Jon Chipman
• Julia Martha Chipman

• 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 Jul 2, 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.