NPI 1780890715 · live from the CMS NPI Registry
James V Anderson, D.M.D.
Dentist, General Practice in Roy, UT. National Provider Identifier 1780890715, active.
NPI record
| NPI | 1780890715 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3626 W 5600 S, Ste D, Roy, UT 84067 |
| Practice phone | 801-985-1940 |
| Enumerated | May 15, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 53707739921 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.