Healthcare Provider Details

I. General information

NPI: 1578496980
Provider Name (Legal Business Name): BRIAN ROSELL DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 E SAINT GEORGE BLVD STE 201
ST GEORGE UT
84770-7106
US

IV. Provider business mailing address

1349 E BLUEBELL CT
LAYTON UT
84040-8375
US

V. Phone/Fax

Practice location:
  • Phone: 435-634-8338
  • Fax:
Mailing address:
  • Phone: 801-960-0692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN JOHN ROSELL
Title or Position: DENTIST
Credential: DDS
Phone: 801-960-0692