Wellformed AI

NPI 1477831766 · live from the CMS NPI Registry

Anderton Dental Group

Dentist, General Practice in Ogden, UT. National Provider Identifier 1477831766, active.

NPI record

NPI1477831766 Type 2 · organization
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location1220 33rd St, Suite A, Ogden, UT 84403
Practice phone801-621-1835
EnumeratedAugust 3, 2011
Last updatedAugust 3, 2011
Authorized officialJen Wolfe, Insurance Coordinator

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice1223G0001X6242001 (UT)
Dentist, General Practice1223G0001X8029496 (UT)
Dentist, General Practice primary1223G0001X137308 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.