Organization · Type 2 NPI
Simply Wisdom Teeth PLLC
Dental Clinic/Center · St. George, UT
NPI number
1255857728
Active
Practice location
352 E Riverside Dr Ste A9
St. George, UT 84790-5812
Fax (435) 652-1243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 143297 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1255857728
Simply Wisdom Teeth PLLC's National Provider Identifier is 1255857728, issued on Aug 16, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. George, UT. The record was last updated on Jul 21, 2022.