# ST. GEORGE RED ROCKS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. George Red Rocks PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356084107
- **Authorized official:** DR. DAYNE R JENSEN DMD (ORAL SURGEON/OWNER)
- **Authorized official phone:** (801) 997-9017

## Contact information

- **Practice address:** 624 S 1000 E STE 107, ST GEORGE, UT 84790-5902
- **Practice address phone:** (435) 289-6600
- **Practice address fax:** (435) 289-6900
- **Mailing address:** 624 S 1000 E STE 107, ST GEORGE, UT 84790-5902
- **Mailing address phone:** (435) 289-6600
- **Mailing address fax:** (435) 289-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2022
- **Last updated:** 10/06/2022