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WISDOM TEETH OF SOUTHERN UTAH
NPI 1467916528
Dentist - Oral and Maxillofacial Surgery in St George, UT

Active since January 23, 2019
446 S MALL DR STE 100, ST GEORGE, UT 84790(435) 673-3490(435) 627-9954 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wisdom Teeth Of Southern Utah NPPES

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

WISDOM TEETH OF SOUTHERN UTAH (NPI 1467916528) is a healthcare organization registered as an oral and maxillofacial surgery in St George, Utah and active in the NPI registry since January 2019. The organization lists Dayne Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1467916528
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWISDOM TEETH OF SOUTHERN UTAH
Location Address446 S MALL DR STE 100St George, UT 84790-4944
Mailing Address446 S Mall Dr Ste 100St George, UT 84790-4944 · (435) 673-3490 · Fax (435) 627-9954
Phone(435) 673-3490
Fax(435) 627-9954
Organization SubpartYesParent: St. George Kids Dental At Snow Canyon
Authorized OfficialDayne JensenOwner · (435) 673-3490
Enumeration DateJanuary 23, 2019
✔ NPI 1467916528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
446 S MALL DR STE 100, St George, UT 84790
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Other Names 1

Other NameWisdom Teeth Of Southern Utah

Other Identifiers 1

Other1881926509Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BECKSTROM ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
446 S MALL DR STE 100
ST GEORGE, UT 84790
Washington County (435) 673-3334

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 Wisdom Teeth Of Southern Utah's NPI number?

The NPI number for Wisdom Teeth Of Southern Utah is 1467916528. It was assigned to this organization in the NPPES registry on January 23, 2019.

Where is Wisdom Teeth Of Southern Utah located?

Wisdom Teeth Of Southern Utah is located at 446 S Mall Dr Ste 100, St George, UT 84790. The listed phone number is (435) 673-3490.

What is Wisdom Teeth Of Southern Utah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Wisdom Teeth Of Southern Utah was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.