WILLIAM CLARK ANDERSEN (NPI# 1598773814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598773814 |
| Entity Type | Individual |
| Full Name | WILLIAM CLARK ANDERSEN |
| Credential | DDS |
| Practice Address |
111 E Forest St Suite C Brigham City UT 84302-2127 |
| Practice Telephone | 4357233272 |
| Practice Fax Number | 4357349339 |
| Mailing Telephone | 4357233272 |
| Mailing Fax Number | 4357349339 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
144759-9921 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1518253327 | William Donald Andersen | Anesthesiology | 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 | 2011-06-21 |
| 1215268024 | William Frederick Andersen | Counselor | 1568 6th Ave, San Diego, CA 92101-3216 | 2010-01-18 |
| 1306035357 | William C Andersen | Neuromusculoskeletal Medicine & OMM | 5045 Hendersonville Rd, Fletcher, NC 28732-6606 | 2007-10-16 |
| 1538135900 | William Karl Andersen | Dermatology | 190 N Pointe Blvd, Ste 1, Lancaster, PA 17601 | 2006-02-27 |
| 1700850195 | William Kristian Andersen | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| Street Address |
111 E FOREST ST SUITE C |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464962 | Brady E Benson | Dentist | 111 E Forest St, Suite F, Brigham City, UT 84302-2127 | 2005-08-22 |
| 1124068788 | William L Harrison | Optometrist | 111 E Forest St, Suite E, Brigham City, UT 84302-2127 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326335092 | Peter C. Knudson Dds, Ms, PC | Dentist | 105 Skyline Dr, Brigham City, UT 84302-3108 | 2011-07-01 |
| 1942404272 | Peter Charles Knudson | Dentist | 105 Skyline Dr, Brigham City, UT 84302-3108 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100295 | Riley Hunsaker | Dentist | 10654 S River Heights Dr, South Jordan, UT 84095-5522 | 2020-10-09 |
| 1174132450 | Jason C Johnson | Dentist | 1231 W 9000 S., Suite #d, West Jordan, UT 84088-5176 | 2020-07-23 |
| 1346884335 | Orthodontics of St. George, P.C. | Dentist | 965 E 700 S Ste 101, St George, UT 84790-4084 | 2019-11-01 |
| 1063063105 | Abundant Dental Care, P.C. | Dentist | 641 W 9000 S Ste 2, Sandy, UT 84070-2580 | 2019-09-20 |
| 1366096208 | Hailee Rask | Dentist | 2255 N University Pkwy Ste 37, Provo, UT 84604-1503 | 2019-07-29 |
| 1477112779 | Alan Clawson Baugh | Dentist | 4019 W 12600 S Ste 210, Riverton, UT 84096-7407 | 2019-06-10 |
| 1821553785 | Raymond Scott Hlavaty | Dentist | 150 E 200 N Ste A, Logan, UT 84321-4036 | 2019-02-05 |
| 1235601659 | Burke and Beckstrom Orthodontics | Dentist | 446 S Mall Dr Ste 100, St George, UT 84790-4944 | 2018-12-24 |
| 1194294488 | Kent Joseph Baugh | Dentist | 164 E 5900 S Ste A109, Murray, UT 84107-7248 | 2018-11-16 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.