Individual provider · Type 1 NPI

Douglas M. Anderson, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · South Jordan, UT

NPI number 1821157918 Active

Practice location

2651 W South Jordan Pkwy Ste 201
South Jordan, UT 84095-8966

Fax (801) 253-2787

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	143412-9921 (UT)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1821157918

Douglas M. Anderson, DDS, M.S.'s National Provider Identifier is 1821157918, issued on Dec 6, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in South Jordan, UT. The record was last updated on Jul 8, 2007.