Periodontal Specialists

LBN: Periodontal Specialists
Periodontal Specialists is an health care organization with primary practice located at 754 S Main St Ste 7 , St George UT 84770-5517. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Periodontal Specialists can be contacted via phone (435) 652-1605, or through Bradshaw, Thomas L via phone (435) 652-1605.

Contact Information

Primary practice address
754 S Main St Ste 7 St George UT 84770-5517
Phone: (435) 652-1605
Fax: (435) 652-2046
Website:
Map and Directions
Authorized official contact:
Name: Bradshaw, Thomas L Doctor of Dental Surgery (DDS)
Phone: (435) 652-1605

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 275219 Utah

Profile Details

NPI number 1750574810
LBN Legal business name Periodontal Specialists
DBA Doing business as
Authorized official Bradshaw, Thomas L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated Aug 22nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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