DR. MITCHELL MILES GUBLER (NPI# 1265788210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265788210 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL MILES GUBLER |
| Credential | D.D.S. |
| Practice Address |
368 E Riverside Dr Ste 7 St George UT 84790-7278 |
| Mailing Address |
794 Swiss Haven Cir Santa Clara UT 84765-5651 |
| Practice Telephone | 4356881344 |
| Practice Fax Number | 4356881845 |
| Mailing Telephone | 4356696157 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9423392-9923 | UT | Dental Providers |
| Street Address |
368 E RIVERSIDE DR STE 7 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642218 | St. George Pdc Pllc | Dentist | 1150 S Bluff St Ste 1, St George, UT 84770-5236 | 2019-04-30 |
| 1750574810 | Periodontal Specialists | Dentist | 754 S Main St Ste 7, St George, UT 84770-5517 | 2007-08-22 |
| 1457352445 | Allen Deheer Todd | Dentist | 754 S Main St, Suite 7, St George, UT 84770-5504 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1225673429 | Mountain View Dental Pdc Pllc | Dentist | 6783 S Redwood Rd #201, South Jordan, UT 84084-5743 | 2019-11-12 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1649837337 | North Logan Pdc Pllc | Dentist | 1445 N 400 E Ste 3a, Logan, UT 84341-7564 | 2019-05-29 |
| 1154701993 | Robert David Swenson | Dentist | 3397 N 1200 E Ste 111, Lehi, UT 84043 | 2015-06-07 |
| 1710385000 | C & F Implants LLC | Dentist | 347 N 300 W, Suite 201, Kaysville, UT 84037-1828 | 2014-12-18 |
| 1548668353 | C & F Implants LLC | Dentist | 5331 Adams Ave Pkwy Ste A, South Ogden, UT 84405-4755 | 2014-12-10 |
| 1457797185 | Rachana Ashok Hegde | Dentist | 10920 S River Front Parkway, College of Dental Medicine Roseman University of Health, South Jordan, UT 84095 | 2013-05-21 |
| 1881982585 | Lloyd V Tilt | Dentist | 1316 Harvard Ave, Salt Lake City, UT 84105-1916 | 2011-07-14 |
| 1912290446 | Timothy Mosher | Dentist | 150 E 200 N Ste H, Logan, UT 84321-4036 | 2011-05-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.