Anderton Dental Group
Dentist, General Practice in Ogden, UT. Organization (NPI-2).
NPI number1477831766
StatusActive
Last updated in NPPESAug 3, 2011
Details
- NPI
- 1477831766
- Entity type
- Organization (NPI-2)
- Legal business name
- Anderton Dental Group
- Organization subpart
- No
- Enumeration date
- Aug 3, 2011
- Last updated
- Aug 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 137308 | UT | Yes |
| 1223G0001X | Dentist, General Practice | 6242001 | UT | |
| 1223G0001X | Dentist, General Practice | 8029496 | UT |
Practice location
1220 33rd StSuite A
Ogden, UT 84403-1378
Phone 801-621-1835 · Fax 801-621-1848
Mailing address
1220 33rd StSuite A
Ogden, UT 84403-1378
Phone 801-621-1835 · Fax 801-621-1848
Authorized official
Jen Wolfe
Insurance Coordinator
8016211835
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