Individual provider · Type 1 NPI
Nathan Anderson, DMD
Oral and Maxillofacial Surgery (Dentist) · Logan, UT
NPI number
1861067464
Active
Practice location
1395 N 400 E
Logan, UT 84341-7530
Mailing address
1395 N 400 E Ste B
Logan, UT 84341-7531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 14206222-9926 (UT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
About NPI 1861067464
Nathan Anderson, DMD's National Provider Identifier is 1861067464, issued on May 25, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Logan, UT. The record was last updated on Jun 9, 2025.