Individual
ERIC B ANDERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601871
UNITED CONCORDIA
—
Enumeration date
10/26/2006
Last updated
07/08/2007
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