Corner Clinic Dental STG

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CORNER CLINIC DENTAL STG

Practice address

2351 S River Rd Ste 4
St George, UT 84790-8749

Phone

(435) 709-8786

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Jacob Heywood

Title

Cfo

Phone

(435) 671-3285

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gregory Sorensen, APRN

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1013729318
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1922609015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E MAIN ST BLDG B2ND",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840496801",
            "telephone_number": "435-659-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 S RIVER RD STE 4",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908749",
            "telephone_number": "435-709-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER CLINIC DENTAL STG",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "HEYWOOD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-671-3285"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Desert Surgery Center LLC
• Macadian Cordova
• Core Chiropractic, LLC
• Corinne W. Draper, LLC
• Jamie Cormani-Denney
• Corner Clinic Snow Canyon LLC
• Corner Clinic St George LLC
• Allie Cornwall
• Emma Elizabeth Cornwell
• Karen Corrales

• Dental Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.