OrganizationActive
Dental Center of St. George LLC
NPI 1215320775 · Health Maintenance Organization · St George, UT
Provider details
- NPI number
- 1215320775
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jackie Imlay, Owner(435) 673-4809
- License
- 0035640 (UT)
Specialties & taxonomies
Managed Care Organizations
Practice location
321 N Mall Dr
#p101
St George, UT 84790-7302
Phone: (435) 673-4809
Fax: (435) 628-5939
Approximate (ZIP-level) locationGet directions
Mailing address
321 N Mall Dr
St George, UT 84790-7302
Registry dates
- Enumerated
- 2015-03-09
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.