NPI 1629702428 · live from the CMS NPI Registry
Taylor Anderson, DMD
Dentist, General Practice in Riverton, UT. National Provider Identifier 1629702428, active.
NPI record
| NPI | 1629702428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4531 W Partridge Hill Ln Ste F110, Riverton, UT 84096 |
| Practice phone | 801-477-8864 |
| Mailing address | 11496 S Open View Ln, South Jordan, UT 84009 |
| Enumerated | July 15, 2022 |
| Last updated | June 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 7672 (NV) |
| Dentist, General Practice primary | 1223G0001X | 13926418-9923 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.