OrganizationActive
Southern Utah Surgical and Laser Aesthetics LLC
NPI 1114164365 · Specialist · St George, UT
Provider details
- NPI number
- 1114164365
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Benjamin Carter, Owner(435) 628-6466
Specialties & taxonomies
Other Service Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1068 E Riverside Dr
St George, UT 84790-4477
Phone: (435) 628-6466
Fax: (435) 628-3845
Street-level locationGet directions
Mailing address
1068 E Riverside Dr
St George, UT 84790-4477
Other names (DBA / former)
- Doing business as
- Riverside Medical Arts
Registry dates
- Enumerated
- 2009-01-09
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.