Ivan K. Hendrickson, DDS

Dentist · St George, UT

Individual Active NPI

NPI number 1003079260

Practice location

720 S River Rd Ste B210
St George, UT 84790-5584
Phone
(435) 656-0507
Fax
(435) 656-3791

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NPI record

NPI
1003079260
Entity type
Individual (Type 1)
Enumeration date
July 8, 2008
Last updated
March 6, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 143297 UT

About Dr. Hendrickson

Ivan K. Hendrickson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 720 S River Rd Ste B210, St George, UT 84790-5584. The NPI number 1003079260 was assigned on July 8, 2008 and the record was last updated on March 6, 2013.

Dr. Hendrickson lists a license in the registry: #143297 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ivan K. Hendrickson, DDS?

The NPI number is 1003079260.

What is the phone number of Dr. Hendrickson?

The phone number listed for the practice location is (435) 656-0507.

Where is Dr. Hendrickson located?

720 S River Rd Ste B210, St George, UT 84790-5584.

What is the taxonomy code for Dr. Hendrickson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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