Organization
HALF DENTAL ST. GEORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY MYERS (CLINIC ADMINISTRATOR)
(435) 656-3868
Entity
Organization
Contact information
Practice address
350 E 600 S, SUITE 1, ST GEORGE, UT 84770-3904
(435) 656-3868
(435) 656-3870
Mailing address
350 E 600 S, SUITE 1, ST GEORGE, UT 84770-3904
(435) 656-3868
(435) 656-3870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
347527-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417014762
NPI
UT
01
—
1750422804
NPI
UT
Enumeration date
01/16/2013
Last updated
01/16/2013
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