# ST GEORGE KIDS DENTAL, PLLC

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

## Provider details

- **NPI number:** 1275958191
- **Authorized official:** TRENT PRYOR DMD (MEMBER)
- **Authorized official phone:** (208) 329-4580

## Contact information

- **Practice address:** 446 S MALL DR UNIT 100, ST GEORGE, UT 84790-4944
- **Practice address phone:** (208) 329-4580
- **Mailing address:** 446 S MALL DR UNIT 100, ST GEORGE, UT 84790-4944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 8669834-9923 | UT | Yes |

## Other

- **Enumeration date:** 03/01/2014
- **Last updated:** 08/11/2014