NPI 1477747913 · live from the CMS NPI Registry
D. Bryce Alldredge, DMD
Dentist, General Practice in St George, UT. National Provider Identifier 1477747913, active.
NPI record
| NPI | 1477747913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1240 E 100 S Ste 17, St George, UT 84790 |
| Practice phone | 435-652-9105 |
| Enumerated | August 28, 2007 |
| Last updated | March 17, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 6626945-9922 (UT) |
| Dentist, General Practice | 1223G0001X | 5871 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.