# ST. GEORGE KIDS DENTAL AT SNOW CANYON

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

## Provider details

- **NPI number:** 1639667801
- **Authorized official:** DR. JEFFREY WESTON HIGBEE DMD (OWNER)
- **Authorized official phone:** (435) 590-7014

## Contact information

- **Practice address:** 1100 CANYON VIEW DR STE A, SANTA CLARA, UT 84765-5672
- **Practice address phone:** (435) 673-3490
- **Practice address fax:** (435) 627-9954
- **Mailing address:** 1100 CANYON VIEW DR STE A, SANTA CLARA, UT 84765-5672
- **Mailing address phone:** (435) 673-3490
- **Mailing address fax:** (435) 627-9954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 8982123 | UT | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 10/07/2020