OrganizationActive
Derm Haven Inc
NPI 1164164141 · Dermatology Physician · St George, UT
Provider details
- NPI number
- 1164164141
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina Moussally, Owner(435) 695-8585
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
352 E Riverside Dr Ste A3
St George, UT 84790-6759
Phone: (435) 695-8585
Fax: (435) 900-1015
Street-level locationGet directions
Mailing address
782 S River Rd Ste 101
St George, UT 84790-5716
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-05-19
- Certified
- 2022-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.