Gregory Earl Anderson in Logan - Oral & Maxillofacial Surgery

Gregory Earl Anderson - NPI 1619192424

Gregory Earl Anderson is a Oral & Maxillofacial Surgery in Logan, Utah. Gregory Earl Anderson practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Gregory Earl Anderson is 1619192424. The last update date is 2014-02-18.

Gregory Earl Anderson's current location address is 1395 No 400 E., Logan, Utah. You can contact this provider via phone number 4357555000 and fax number 4357555099. The mailing address for Gregory Earl Anderson is 1395 No 400 E., Logan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Earl Anderson
Address 1395 No 400 E., Logan, Utah
Phone Number 4357555000
Fax Number 4357555099
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1619192424
Provider Enumeration Date 2007-04-16
Last Updated Date 2014-02-18

Provider Mailing Address Detail

Address 1395 No 400 E.
City Logan
State Utah (UT)
Post Code 84341
Phone Number 4357555000
Fax Number 4357555099

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No 145198-9924
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

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FAQs about Gregory Earl Anderson

What is the unique provider identifier assigned to Gregory Earl Anderson?

The Gregory Earl Anderson has been issued the NPI (National Provider Identifier) 1619192424 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Gregory Earl Anderson is physically located?

The Gregory Earl Anderson is physically situated at the following address: 1395 No 400 E., Logan, UT, 84341.

What is Gregory Earl Anderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gregory Earl Anderson is Oral & Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 204E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619192424 to Gregory Earl Anderson?

The Centers for Medicare & Medicaid Services originally issued the 1619192424 to Gregory Earl Anderson on 2007-04-16.

As of what date was the information regarding Gregory Earl Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gregory Earl Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-18.

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