Organization
DIXIE DENTAL
Active
Parent organization
DIXIE DENTAL
Other names
Dixie Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIXIE DENTAL
Authorized official
BRANDON D. HENDERSON DMD, PC (DENTIST D.D.S.)
(435) 688-1400
Entity
Organization
Contact information
Practice address
425 E TABERNACLE, ST GEORGE, UT 84770
(435) 688-1400
(435) 688-1408
Mailing address
425 EAST TABERNACLE, ST. GEORGE, UT 84770
(435) 688-1400
(435) 688-1408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6649422-9922
UT
1223G0001X
General Practice Dentistry
983604379922
UT
Other
Enumeration date
03/13/2007
Last updated
10/08/2009
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