Provider Demographics
NPI:1346448172
Name:TOBLER, REX E (DR DDS)
Entity Type:Individual
Prefix:
First Name:REX
Middle Name:E
Last Name:TOBLER
Suffix:
Gender:M
Credentials:DR DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DIAGONAL
Mailing Address - Street 2:#102
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770
Mailing Address - Country:US
Mailing Address - Phone:435-673-0964
Mailing Address - Fax:435-656-4595
Practice Address - Street 1:10 DIAGONAL
Practice Address - Street 2:#102
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770
Practice Address - Country:US
Practice Address - Phone:435-673-0964
Practice Address - Fax:435-656-4595
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT141847 99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice