DR. GREGORY EARL ANDERSON (NPI# 1619192424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619192424 |
| Entity Type | Individual |
| Full Name | DR. GREGORY EARL ANDERSON |
| Credential | DDS |
| Practice Address |
1395 No. 400 E. Ste B Logan UT 84341 |
| Mailing Address |
1395 No 400 E. Ste B Logan UT 84341 |
| Practice Telephone | 4357555000 |
| Practice Fax Number | 4357555099 |
| Mailing Telephone | 4357555000 |
| Mailing Fax Number | 4357555099 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2014-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 145198-9924 | UT | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
1451989924 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780186908 | Gregory Alan Anderson | Nurse Practitioner | 13045 S Mur Len Rd, Olathe, KS 66062-1230 | 2018-03-03 |
| 1952643900 | Gregory Nelson Anderson | Speech-Language Pathologist | 170 Boice St S, Salem, OR 97302-4405 | 2013-03-17 |
| 1457532673 | Gregory Anderson | Speech-Language Pathologist | 6011 Rockton Ct, Centreville, VA 20121-3083 | 2007-11-15 |
| 1528143138 | Gregory Layton Anderson | Chiropractor | 210 E Clark Ave Ste A, Santa Maria, CA 93455-5349 | 2006-10-25 |
| 1033140561 | Gregory S Anderson | General Practice | Hwy 1 Hospital Drive, Box 497, Red Lake, MN 56671-0497 | 2006-07-05 |
| 1609826932 | Gregory Paul Anderson | Chiropractor | 2102 Otranto Blvd, Ste A, North Charleston, SC 29406-9841 | 2006-05-10 |
| 1225016777 | Gregory Anderson | Pediatrics | 2905 5th St, Rapid City, SD 57701-7316 | 2006-01-05 |
| 1083691448 | Gregory J Anderson | Nurse Anesthetist, Certified Registered | 808 3rd St Se, Suite 130, Little Falls, MN 56345-3557 | 2005-12-28 |
| 1699777680 | Gregory D Anderson | Chiropractor | 120 E Oak St, Lake Mills, WI 53551-1243 | 2005-08-10 |
| 1114542115 | Gregory James Anderson | Pharmacist | 703 Main St, Dubuque, IA 52001-6814 | 2020-06-15 |
| Street Address |
1395 NO. 400 E. STE B |
| City | LOGAN |
| State | UT |
| Zip Code | 84341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548320963 | Michael S Wilkinson | Oral & Maxillofacial Surgery | 1320 N 600 E, Suite 3, Logan, UT 84341-2431 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918094 | Southern Utah Surgical Arts | Oral & Maxillofacial Surgery | 393 E Riverside Dr, Ste 2b, St. George, UT 84790 | 2017-12-27 |
| 1245601012 | Oral & Maxillofacial Surgeons of Utah | Oral & Maxillofacial Surgery | 2297 N Hill Field Rd, Suite 105, Layton, UT 84041-6920 | 2015-10-19 |
| 1275899809 | Utah Oral Surgery & Dental Implant Center | Oral & Maxillofacial Surgery | 6243 S Redwood Rd Ste 100, Salt Lake City, UT 84123-6408 | 2012-04-09 |
| 1790089886 | Oral Surgery Specialty | Oral & Maxillofacial Surgery | 3648 W 9800 S, South Jordan, UT 84095-3260 | 2011-01-04 |
| 1851528244 | Matthew N Maxfield | Oral & Maxillofacial Surgery | 6710 S Blackstone Rd, Ste 104, Salt Lake City, UT 84121-6232 | 2009-06-12 |
| 1689795114 | Alvin J Stosich | Oral & Maxillofacial Surgery | 6268 S 900 E, Ste 100, Salt Lake City, UT 84121-2497 | 2007-04-02 |
| 1376607721 | Steven E Christensen | Oral & Maxillofacial Surgery | 6243 South Redwood Rd, Suite 100, Salt Lake City, UT 84123 | 2006-12-20 |
| 1174604128 | Nathan G Adams | Oral & Maxillofacial Surgery | 3920 S 1100 E Ste 150, Salt Lake City, UT 84124-1266 | 2006-10-18 |
| 1215038740 | James H Barton | Oral & Maxillofacial Surgery | 882 N Main St, Richfield, UT 84701-1840 | 2006-09-26 |
| 1275531584 | Paul Benson | Oral & Maxillofacial Surgery | 890 Heritage Park Blvd, Layton, UT 84041-5633 | 2005-07-11 |
| Find all providers with the same taxonomy | ||||
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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.