Individual provider · Type 1 NPI

Randy T. Simonsen, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · St. George, UT

NPI number 1710254792 Active

Practice location

10 Diagonal St
St. George, UT 84770-2878

Fax (435) 628-3773

Mailing address

10 W. Diagonal Street
St. George, UT 84770

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X1401399921 (UT)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1710254792

Randy T. Simonsen, DDS's National Provider Identifier is 1710254792, issued on Nov 19, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. George, UT. The record was last updated on Nov 19, 2011.