# DR. GREGORY EARL ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619192424
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 145198-9924 | UT | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 1451989924 | UT | — |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 09/29/2026