| I Smile At Vip Dental Pllc | |
|
330 E Tabernacle St Suite #1 St George UT 84770-3093 | |
| (435) 673-3211 | |
| Not Available |
| Full Name | I Smile At Vip Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 E Tabernacle St, St George, Utah |
| Authorized Official Name and Position | Verd Erickson (DENTIST) |
| Authorized Official Contact | 4356733211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Smile At Vip Dental Pllc 330 E Tabernacle St Suite #1 St George UT 84770-3093 Ph: (435) 673-3211 | I Smile At Vip Dental Pllc 330 E Tabernacle St Suite #1 St George UT 84770-3093 Ph: (435) 673-3211 |
| NPI Number | 1689082059 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689082059 | NPI | - | NPPES |
| 520387276 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 133468-8903 (Utah) | Primary |
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