NPIMap

Organization Active NPI

St George Dental Care LLC

  • General Practice Dentistry
  • St George, UT
National Provider Identifier
1891191334
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
143091 Issued in UT
Legal business name
ST GEORGE DENTAL CARE LLC
Practice address
444 E Tabernacle St Ste 1
St George, UT 84770-0610
Phone
(435) 628-9099
Fax
(435) 673-3571
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
Dr. Dan Utley, D.D.S.NPI 1437229275
Title
Manager
Phone
(435) 628-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 143091 UT Primary

Addresses

Primary practice location

444 E Tabernacle St Ste 1
St George, UT 84770-0610

Mailing address

444 E Tabernacle St Ste 1
St George, UT 84770-0610
Phone (435) 628-9099

National Provider Directory

National Provider Directory

Locations

444 E Tabernacle St
Ste 1
St George, UT 84770
Phone (435) 628-9099

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1891191334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E TABERNACLE ST STE 1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847700610",
            "telephone_number": "435-628-9099",
            "fax_number": "435-673-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E TABERNACLE ST STE 1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847700610",
            "telephone_number": "435-628-9099",
            "fax_number": "435-673-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-628-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "143091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.