Healthcare Provider Details

I. General information

NPI: 1134928468
Provider Name (Legal Business Name): HUNTER SHELBY FREI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 100 S
ST GEORGE UT
84770-3428
US

IV. Provider business mailing address

290 LE GRANDE CIR
SANTA CLARA UT
84765-5630
US

V. Phone/Fax

Practice location:
  • Phone: 435-705-9641
  • Fax:
Mailing address:
  • Phone: 435-705-9641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14217555
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: