Individual
DR. JEFFREY R. SIMISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1054 E RIVERSIDE DR, SUITE #101, ST GEORGE, UT 84790-4477
(435) 656-3346
(435) 656-9058
Mailing address
1054 E RIVERSIDE DR, SUITE #101, ST GEORGE, UT 84790-4477
(435) 656-3346
(435) 656-9058
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2989
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
354748
UT
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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