NPI 1821157918 · live from the CMS NPI Registry
Douglas M Anderson, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in South Jordan, UT. National Provider Identifier 1821157918, active.
NPI record
| NPI | 1821157918 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095 |
| Practice phone | 801-254-2700 |
| Enumerated | December 6, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 143412-9921 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.