Individual provider · Type 1 NPI

Andrew G. Ericksen, DDS

General Practice Dentistry · Holladay, UT

NPI number 1811265143 Active

Practice location

2160 E 4500 S Ste 3, Same
Holladay, UT 84117-4499

Mailing address

4543 S Suncrest Dr
Holladay, UT 84117-4316

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X79993339922 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1811265143

Andrew G. Ericksen, DDS's National Provider Identifier is 1811265143, issued on Dec 1, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Holladay, UT. The record was last updated on Jul 28, 2016.