DENTAL CENTER OF ST. GEORGE LLC (NPI# 1215320775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215320775 |
| Entity Type | Organization |
| Organization Name | DENTAL CENTER OF ST. GEORGE LLC |
| Practice Address |
321 N Mall Dr #p101 St George UT 84790-7302 |
| Practice Telephone | 4356734809 |
| Practice Fax Number | 4356285939 |
| Mailing Telephone | 4356734809 |
| Mailing Fax Number | 4356285939 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | JACKIE IMLAY (OWNER) |
| Authorized Official Telephone | 4356734809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 0035640 | UT | Managed Care Organizations |
| Street Address |
321 N MALL DR #P101 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437258480 | Darren Boyd Earl | Dentist | 321 N Mall Dr, # F102, St George, UT 84790 | 2006-09-22 |
| 1619537503 | Grant Pemberton | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-06-13 |
| 1467925883 | Saskia Ann Stallings | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-01-08 |
| 1255815692 | Victoria Kate Graff | Social Worker | 321 N Mall Dr, E 102, St George, UT 84790-7302 | 2018-09-21 |
| 1407308737 | David B Tate Phd LLC | Psychologist | 321 N Mall Dr, Suite I-201, St George, UT 84790-7323 | 2016-11-03 |
| 1710436019 | Amy Michelle Tikalsky | Behavior Technician | 321 N Mall Dr, Suite E102, St George, UT 84790-7302 | 2016-09-27 |
| 1528476421 | David H Jones | Marriage & Family Therapist | 321 N Mall Dr, Vw-103, St George, UT 84790 | 2014-07-24 |
| 1427485101 | Cecilie Ott | Marriage & Family Therapist | 321 N Mall Dr, St George, UT 84790-7302 | 2013-09-26 |
| 1144566654 | Irvin Paul Dunsdon | Massage Therapist | 321 N Mall Dr, Bldg I #102, St George, UT 84790-7302 | 2013-01-02 |
| 1548534043 | Chad A Graff, Ph.d., LLC | Counselor | 321 N Mall Dr, Vw101, St George, UT 84790-7302 | 2012-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972804755 | Chiropractic Avenue LLC | Health Maintenance Organization | 169 W 2710 South Cir, Suite 204, St George, UT 84790-7201 | 2010-11-09 |
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|---|---|---|---|---|
| 1942826920 | Live Love Dream Wellness | Health Maintenance Organization | 9735 S 2950 W, South Jordan, UT 84095-3262 | 2020-06-24 |
| 1386021558 | Healthcare Resource Management LLC | Health Maintenance Organization | 2616 E Commonwealth Ave, Salt Lake City, UT 84109-1312 | 2015-04-27 |
| 1447582952 | Wasatch Health Solutions | Health Maintenance Organization | 3185 Walker Mill Ct, Salt Lake City, UT 84121-3590 | 2010-02-08 |
| 1982858460 | Palmer's Massage LLC | Health Maintenance Organization | 815 E 400 N, Springville, UT 84663-1611 | 2008-11-10 |
| 1144472911 | Magnum Opus Technologies | Health Maintenance Organization | 1572 Sunrise Meadow Dr, Sandy, UT 84093-2433 | 2008-10-10 |
| 1093980310 | Larkin Hearing Centers | Health Maintenance Organization | 1528 Woodland Park Dr, Suite 100, Layton, UT 84041-5635 | 2008-04-28 |
| 1427248467 | Advanced Eye Care | Health Maintenance Organization | 1250 E 3900 S Ste 310, Salt Lake City, UT 84124-1350 | 2007-07-26 |
| 1760570766 | Adult Home Care By Horizon | Health Maintenance Organization | 1795 Chelemes Way, Clearfield, UT 84015-6298 | 2006-10-11 |
| 1730625609 | Body Balance Massage | Health Maintenance Organization | 11075 S State St, Ste 31, Sandy, UT 84070-5164 | 2017-01-16 |
| 1518419159 | Hurricane Valley Counseling Center | Health Maintenance Organization | 201 N State St, Hurricane, UT 84737-1871 | 2016-10-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.