KELVIN Q NISSON (NPI# 1598836272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598836272 |
| Entity Type | Individual |
| Full Name | KELVIN Q NISSON |
| Credential | DDS |
| Practice Address |
352 E Riverside Drive Suite C3 St George UT 84790 |
| Practice Telephone | 4356731360 |
| Practice Fax Number | 4356730895 |
| Mailing Telephone | 4356731360 |
| Mailing Fax Number | 4356730895 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 142788 | UT | Dental Providers |
| Street Address |
352 E RIVERSIDE DRIVE SUITE C3 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1538447461 | Darren Hafen Hatch | Dentist | 1224 S River Rd Ste D, St George, UT 84790-7195 | 2011-07-26 |
| 1073762837 | Kyle D Frei | Dentist | 111 E 100 S, St George, UT 84770-3428 | 2008-09-16 |
| 1003009150 | Irvin Lee Ence | Dentist | 10 Diagonal Street, #102, St George, UT 84770 | 2007-08-22 |
| 1467597526 | Daniel Mervyn Cox | Dentist | 640 E 700 S Ste 10a, St George, UT 84770-4036 | 2007-02-20 |
| 1376688135 | Chris A Neilson | Dentist | 151 W Brigham Rd Ste 2, St George, UT 84790-7982 | 2007-02-20 |
| 1093854150 | Scott P Taylor | Dentist | 923 S River Rd, St George, UT 84790-0503 | 2007-02-05 |
| 1689729485 | Ned O Gregerson | Dentist | 720 S River Rd Ste C215, St George, UT 84790-2102 | 2007-01-24 |
| 1295889020 | Richard J. Barton | Dentist | 382 S Bluff St Ste 250, St George, UT 84770-3672 | 2007-01-22 |
| 1437258480 | Darren Boyd Earl | Dentist | 321 N Mall Dr, # F102, St George, UT 84790 | 2006-09-22 |
| Find all providers in ST GEORGE | ||||
Please comment or provide details below to improve the information on KELVIN Q NISSON.
| 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.