DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREGORY EARL ANDERSON, DDS

Active Sole Proprietor

DR. GREGORY EARL ANDERSON, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in LOGAN, Utah. NPI 1619192424 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · LOGAN, UT

Registration Details

NPI Number
1619192424
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2007 (19.298473631469 yrs)
Last Updated
Feb 18, 2014
Licenses
145198-9924 (UT)
1451989924 (UT)
Sole Proprietor
Yes

Practice Information

Address
1395 NO. 400 E.
STE B
LOGAN, UT, 84341
Browse UT providers · Browse ZIP 84341
Phone
4357555000
Fax
4357555099
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in LOGAN, UT

Name Credential NPI
MICHAEL S WILKINSON DMD, MD 1548320963
DR. STUART D. WILKINSON DDS 1821136805
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.