DR. Gregory Earl Anderson, DDS

NPI #1619192424 in Logan, Utah

Provider Information

NPI Number: 1619192424
Entity Type: Individual
Name: DR. Gregory Earl Anderson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DDS
Enumeration Date: Apr 16, 2007
Last Updated: Feb 18, 2014

Practice Location

Address: 1395 NO. 400 E.
Address 2: STE B
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 755-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X

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Organizations

Provider Name	Specialty	City
Gregory E. Anderson PC	Oral & Maxillofacial Surgery	Logan	AI Deep Dive

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