Ivan K Hendrickson in St George - Dentist
Ivan K Hendrickson - NPI 1003079260
Ivan K Hendrickson is a Dentist in St George, Utah. Ivan K Hendrickson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ivan K Hendrickson is 1003079260. The last update date is 2013-03-06.
Ivan K Hendrickson's current location address is 720 S River Rd Ste B210, St George, Utah. You can contact this provider via phone number 4356560507 and fax number 4356563791. The mailing address for Ivan K Hendrickson is 720 S River Rd Ste B210, St George, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan K Hendrickson |
|---|---|
| Address | 720 S River Rd Ste B210, St George, Utah |
| Phone Number | 4356560507 |
| Fax Number | 4356563791 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1003079260 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2013-03-06 |
Provider Mailing Address Detail
| Address | 720 S River Rd Ste B210 |
|---|---|
| City | St George |
| State | Utah (UT) |
| Post Code | 847905584 |
| Phone Number | 4356560507 |
| Fax Number | 4356563791 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 143297 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Ivan K Hendrickson by the Centers for Medicare & Medicaid Services?
The Ivan K Hendrickson has been assigned the NPI (National Provider Identifier) 1003079260 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ivan K Hendrickson is located?
The Ivan K Hendrickson is situated at the following address: 720 S River Rd Ste B210, St George, UT, 847905584.
What is the Ivan K Hendrickson's specialty and taxonomy code?
The Ivan K Hendrickson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Ivan K Hendrickson receive its 1003079260?
The Ivan K Hendrickson was issued its 1003079260 on 2008-07-08, which is the date when the organization was assigned this unique identifier.
When was the Ivan K Hendrickson's information last updated?
The Ivan K Hendrickson's information was last updated on 2013-03-06.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH