Dixie Dental

General Practice Dentistry · St George, UT

Organization Active NPI

NPI number 1003949827

Practice location

425 E Tabernacle
St George, UT 84770
Phone
(435) 688-1400
Fax
(435) 688-1408

Open in Google Maps

NPI record

NPI
1003949827
Entity type
Organization (Type 2)
Enumeration date
March 13, 2007
Last updated
October 8, 2009
Organization subpart
Yes
Parent organization
Dixie Dental

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6649422-9922 UT
General Practice Dentistry 1223G0001X 983604379922 UT

Mailing address

425 East Tabernacle
St. George, UT 84770
Phone
(435) 688-1400
Fax
(435) 688-1408

Authorized official

Name
Brandon D. Henderson, DMD, PC
Title
Dentist D.D.S.
Phone
(435) 688-1400

Other names

  • Dixie Dental

About Dixie Dental

Dixie Dental is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 425 E Tabernacle, St George, UT 84770. The NPI number 1003949827 was assigned on March 13, 2007 and the record was last updated on October 8, 2009.

Dixie Dental lists 2 licenses in the registry: #6649422-9922 (UT) for General Practice Dentistry; #983604379922 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Brandon D. Henderson, DMD, PC, Dentist D.D.S..

Frequently asked questions

What is the NPI number of Dixie Dental?

The NPI number is 1003949827.

What is the phone number of Dixie Dental?

The phone number listed for the practice location is (435) 688-1400.

Where is Dixie Dental located?

425 E Tabernacle, St George, UT 84770.

What is the taxonomy code for Dixie Dental?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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.

Other General Practice Dentistry providers in St George

All General Practice Dentistry providers in St George, UT →