# ST. GEORGE KIDS DENTAL DOWNTOWN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184474975
- **Authorized official:** DR. TRENT GRAFF PRYOR DMD (OWNER)
- **Authorized official phone:** (208) 329-4580

## Contact information

- **Practice address:** 754 S MAIN ST STE 2, ST GEORGE, UT 84770-5506
- **Practice address phone:** (435) 673-9922
- **Practice address fax:** (435) 673-9411
- **Mailing address:** 446 S MALL DR STE 100, ST GEORGE, UT 84790-4944
- **Mailing address phone:** (435) 673-3490
- **Mailing address fax:** (435) 627-9954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 03/25/2024