NPI 1730816257 · live from the CMS NPI Registry
Tyler Aldon Anderson
Dentist, General Practice in Ogden, UT. National Provider Identifier 1730816257, active.
NPI record
| NPI | 1730816257 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4550 Harrison Blvd, Ogden, UT 84403 |
| Practice phone | 801-334-9444 |
| Enumerated | August 4, 2022 |
| Last updated | August 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 12863640-9923 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.