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General NPI Number Information
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NPI Number | 1619826864
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Entity Type | Organization
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Legal Business Name | GREGORY E. ANDERSON PC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1395 N 400 E STE B
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City | LOGAN
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State | UT
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Zip | 84341-7531
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Country | US
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Telephone | 435-755-5000
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Fax | 435-755-5099
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Provider Business Mailing Address
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Address Line | 1395 N 400 E STE B
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City | LOGAN
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State | UT
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Zip | 84341-7531
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Country | US
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Telephone | 435-755-5000
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Fax | 435-755-5099
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINSEY GROESBECK
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Credential |
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Telephone | 435-755-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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