Individual
TYSON JESSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 S 3000 E, ST GEORGE, UT 84790-1823
(435) 628-0511
Mailing address
826 S 3000 E, ST GEORGE, UT 84790-1823
(435) 215-2815
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14212397
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/08/2023
Last updated
08/26/2025
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