Organization
ANDERTON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN WOLFE (INSURANCE COORDINATOR)
(801) 621-1835
Entity
Organization
Contact information
Practice address
1220 33RD ST, SUITE A, OGDEN, UT 84403-1378
(801) 621-1835
(801) 621-1848
Mailing address
1220 33RD ST, SUITE A, OGDEN, UT 84403-1378
(801) 621-1835
(801) 621-1848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
137308
UT
1223G0001X
General Practice Dentistry
6242001
UT
1223G0001X
General Practice Dentistry
8029496
UT
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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