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Contact Information

DIXIE DENTAL
LBN DIXIE DENTAL
425 E TABERNACLE
SAINT GEORGE, UT84770
 Phone: 435-688-1400
 Fax: 435-688-1408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DIXIE DENTAL

NPI Number 1003949827
LBN Legal business name DIXIE DENTAL
DBA Doing business as DIXIE DENTAL
Authorized official BRANDON HENDERSON - (DENTIST D.D.S.)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/13/2007
Last updated 10/08/2009 - About 10 years ago
Identifiers
UT License # 6649422-9922
UT License # 983604379922
Other 870647649 TIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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