Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BARETT D ANDREASEN, DDS
Active Sole ProprietorOral & Maxillofacial Pathology · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1982365714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2022 (4.2954449432366 yrs)
- Last Updated
- Jan 4, 2022
- License
-
12185012-9921 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
914 W BROOKCREST CIRSOUTH JORDAN, UT, 840954501Browse UT providers · Browse ZIP 84095
- Phone
- 4242262174
- Primary Specialty
-
Oral & Maxillofacial Pathology
1223X0008X
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.