NPI 1497880140 · live from the CMS NPI Registry
Paul Darren Anderson, D.M.D.
Dentist, General Practice in St George, UT. National Provider Identifier 1497880140, active.
NPI record
| NPI | 1497880140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 321 N Mall Dr, St George, UT 84790 |
| Practice phone | 435-628-5496 |
| Enumerated | February 22, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 5878928-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.