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Contact Information

JARED G ANDERTON, DDS
3920 UNIVERSITY CIR
OGDEN, UT84408-3920
 Phone: 801-626-7169
 Fax: 801-394-4609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JARED G ANDERTON · (Male)

NPI # 1992880074
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/26/2006
Last updated 05/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 6242001
  • UT Medicaid 539444090005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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