SIMPLY WISDOM TEETH PLLC
NPI 1255857728
Clinic/Center - Dental in Saint George, UT

Active since August 16, 2017
352 E RIVERSIDE DR STE A9, SAINT GEORGE, UT 84790(435) 652-1243(435) 652-1243 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About Simply Wisdom Teeth Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMPLY WISDOM TEETH PLLC (NPI 1255857728) is a healthcare organization registered as a dental in Saint George, Utah and active in the NPI registry since August 2017. The organization lists Niels Hendrickson, Manager, as its authorized official.

NPPES Registry Identity

NPI1255857728
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSIMPLY WISDOM TEETH PLLC
Location Address352 E RIVERSIDE DR STE A9Saint George, UT 84790-5812
Mailing Address352 E Riverside Dr Ste A9Saint George, UT 84790-5812 · (435) 652-1243 · Fax (435) 652-1243
Fax(435) 652-1243
Organization SubpartNo
Authorized OfficialNiels HendricksonManager · (435) 215-6621
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1255857728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in UT · 143297
352 E RIVERSIDE DR STE A9, Saint George, UT 84790

Other Identifiers 1

Medicaid528948205UT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simply Wisdom Teeth PLLC's NPI number?

The NPI number for Simply Wisdom Teeth PLLC is 1255857728. It was assigned to this organization in the NPPES registry on August 16, 2017.

Where is Simply Wisdom Teeth PLLC located?

Simply Wisdom Teeth PLLC is located at 352 E Riverside Dr Ste A9, Saint George, UT 84790. The listed phone number is (435) 652-1243.

What is Simply Wisdom Teeth PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Simply Wisdom Teeth PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.