Provider Demographics
NPI:1417156506
Name:PATTON, BEKKI T (DDS)
Entity Type:Individual
Prefix:DR
First Name:BEKKI
Middle Name:T
Last Name:PATTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N MALL DR
Mailing Address - Street 2:SUITE #P101
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7302
Mailing Address - Country:US
Mailing Address - Phone:435-674-1418
Mailing Address - Fax:435-674-2011
Practice Address - Street 1:321 N MALL DR
Practice Address - Street 2:SUITE #P101
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7302
Practice Address - Country:US
Practice Address - Phone:435-674-1418
Practice Address - Fax:435-674-2011
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3788961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice