ST. GEORGE PDC PLLC (NPI# 1720642218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720642218 |
| Entity Type | Organization |
| Organization Name | ST. GEORGE PDC PLLC |
| Practice Address |
1150 S Bluff St Ste 1 St George UT 84770-5236 |
| Mailing Address |
Po Box 970895 Orem UT 84097-0309 |
| Practice Telephone | 4356288885 |
| Practice Fax Number | 4356563008 |
| Mailing Telephone | 8013503460 |
| Mailing Fax Number | 8013356551 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | DR. JUAN CARLOS CHAVEZ (OWNER) |
| Authorized Official Telephone | 4356288885 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Platinum Dental Care | Doing Business As Name - Organization |
| Street Address |
1150 S BLUFF ST STE 1 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750473435 | Bricanei A Dyer | Dentist | 1150 S Bluff St Ste 1, St George, UT 84770-5236 | 2006-09-29 |
| 1518122894 | Joshua Duke Albrecht | Dentist | 1150 S Bluff St Ste 1, St George, UT 84770-5236 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457850844 | Sunset Smiles Dentistry | Dentist | 929 W Sunset Blvd Ste 15, St George, UT 84770-4849 | 2018-02-12 |
| 1609244045 | Tyler S Utley | Dentist | 444 E Tabernacle #1, St George, UT 84770 | 2015-09-02 |
| 1891191334 | St George Dental Care LLC | Dentist | 444 E Tabernacle St Ste 1, St George, UT 84770-0610 | 2014-11-11 |
| 1750636288 | Stephen Michael Jackson | Dentist | 350 E 600 S Ste 1, St George, UT 84770 | 2012-07-20 |
| 1982984415 | Ginger Atkin | Dentist | 444 E Tabernacle St, #1, St George, UT 84770-3270 | 2011-08-29 |
| 1285960799 | Jay Alan Taylor | Dentist | 1404 Sunriver Pkwy Ste 125, St George, UT 84790-4824 | 2009-10-19 |
| 1336384908 | Ashton A. Prince | Dentist | 144 W Brigham Rd Ste 15, St George, UT 84790-7472 | 2008-12-10 |
| 1477747913 | D. Bryce Alldredge | Dentist | 1240 E 100 S Ste 17, St George, UT 84790-3074 | 2007-08-28 |
| 1437340858 | Owen Courtney Allen | Dentist | 425 E Tabernacle St, St George, UT 84770-2941 | 2007-08-09 |
| 1396944047 | Carl Blaine Curtis | Dentist | 437 S Bluff St Ste 102, St George, UT 84770-3553 | 2007-07-13 |
| Find all providers in ST GEORGE | ||||
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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.