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PERIODONTAL SPECIALISTS
NPI 1750574810
Dentist - Periodontics in St George, UT

Active since August 22, 2007
754 S MAIN ST STE 7, ST GEORGE, UT 84770(435) 652-1605(435) 652-2046 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Periodontal Specialists NPPES

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

PERIODONTAL SPECIALISTS (NPI 1750574810) is a healthcare organization registered as a periodontics in St George, Utah and active in the NPI registry since August 2007. The organization lists Thomas L Bradshaw, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1750574810
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL SPECIALISTS
Location Address754 S MAIN ST STE 7St George, UT 84770-5517
Mailing Address754 S Main St Ste 7St George, UT 84770-5517 · (435) 652-1605 · Fax (435) 652-2046
Phone(435) 652-1605
Fax(435) 652-2046
Organization SubpartNo
Authorized OfficialThomas L BradshawPeriodontist · (435) 652-1605
Enumeration DateAugust 22, 2007
✔ NPI 1750574810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in UT · 275219
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
754 S MAIN ST STE 7, St George, UT 84770
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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 3

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

DR. THOMAS LEE BRADSHAW DDS
Dentist (Periodontics)
754 S MAIN ST STE 7
SAINT GEORGE, UT 84770
Washington County (435) 652-1605
CHRISTOPHER ROLLINS, DMD, PLLC
Dentist (Periodontics)
754 S MAIN ST STE 7
ST GEORGE, UT 84770
Washington County (435) 652-1605
CHRISTOPHER TYLER ROLLINS DMD
Dentist (Periodontics)
754 S MAIN ST STE 7
ST GEORGE, UT 84770
Washington County (435) 652-1605

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 Periodontal Specialists's NPI number?

The NPI number for Periodontal Specialists is 1750574810. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Periodontal Specialists located?

Periodontal Specialists is located at 754 S Main St Ste 7, St George, UT 84770. The listed phone number is (435) 652-1605.

What is Periodontal Specialists's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Specialists was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.