Whalio Doctors

NPI 1619192424

Gregory Earl Anderson, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Logan, UT

Practice location

Address
1395 No. 400 E. STE B, Logan, UT 84341
Phone
(435) 755-5000
Fax
(435) 755-5099
Mailing address
1395 No 400 E. STE B, Logan, UT 84341

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 145198-9924 (UT)
Plastic and Reconstructive Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 1451989924 (UT)

Registry record

NPI
1619192424
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Apr 2007
Record last updated
18 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.