Jackie Imlay

General Practice Dentistry · St George, UT

Individual Active NPI

NPI number 1851783203

Practice location

321 N Mall Dr Ste P101
St George, UT 84790-7338
Phone
(435) 673-4809
Fax
(435) 628-5939

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NPI record

NPI
1851783203
Entity type
Individual (Type 1)
Enumeration date
February 23, 2015
Last updated
February 23, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 00035640 UT

About Jackie Imlay

Jackie Imlay is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 321 N Mall Dr Ste P101, St George, UT 84790-7338. The NPI number 1851783203 was assigned on February 23, 2015 and the record was last updated on February 23, 2015.

Jackie Imlay lists a license in the registry: #00035640 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackie Imlay?

The NPI number is 1851783203.

What is the phone number of Jackie Imlay?

The phone number listed for the practice location is (435) 673-4809.

Where is Jackie Imlay located?

321 N Mall Dr Ste P101, St George, UT 84790-7338.

What is the taxonomy code for Jackie Imlay?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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