Individual
DR. JARED G ANDERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3920 UNIVERSITY CIR, OGDEN, UT 84408-3920
(801) 626-7169
(801) 394-4609
Mailing address
1860 E SKYLINE DR, SOUTH OGDEN, UT 84403-5217
(801) 621-1835
(801) 621-1848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6242001
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539444090005
—
UT
Enumeration date
10/26/2006
Last updated
05/05/2016
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