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Contact Information

ANDERTON DENTAL GROUP
1220 33RD ST
SUITE A
OGDEN, UT84403-1378
 Phone: 801-621-1835
 Fax: 801-621-1848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANDERTON DENTAL GROUP

NPI # 1477831766
LBN Legal business name ANDERTON DENTAL GROUP
Authorized official JEN WOLFE - (INSURANCE COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2011
Last updated 08/03/2011 - About 15 years ago
Identifiers
UT License # 137308
UT License # 6242001
UT License # 8029496
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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