OrganizationActive
Desert Bloom Plastic Surgery LLC
NPI 1235691510 · Medical Specialty Clinic/Center · St George, UT
Provider details
- NPI number
- 1235691510
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Wallin, President(435) 627-8150
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
446 S Mall Dr Ste 1
St George, UT 84790-4944
Phone: (435) 627-8150
Street-level locationGet directions
Mailing address
446 S Mall Dr Ste 1
St George, UT 84790-4944
Registry dates
- Enumerated
- 2019-04-04
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.