# ANDRUS PROSTHODONTICS LC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St.George Center for Specialized Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275916777
- **Authorized official:** DR. RODNEY L ANDRUS DDS (OWNER)
- **Authorized official phone:** (435) 674-3100

## Contact information

- **Practice address:** 640 E 700 S, SUITE 104, ST GEORGE, UT 84770-4023
- **Practice address phone:** (435) 674-3100
- **Practice address fax:** (435) 674-4345
- **Mailing address:** 640 E 700 S, SUITE 104, ST GEORGE, UT 84770-4023
- **Mailing address phone:** (435) 674-3100
- **Mailing address fax:** (435) 674-4345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | 4748653 | UT | Yes |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 07/01/2015