IndividualActive
Alan Anderson, D.D.S.
NPI 1174746697 · Dentist · Salt Lake City, UT
Provider details
- NPI number
- 1174746697
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 142218 (UT)
Practice location
1758 W 4805 S
Salt Lake City, UT 84118-1177
Phone: (801) 964-6699
Fax: (801) 964-1347
Mailing address
7931 Shaggy Mountain Rd
Herriman, UT 84065-3676
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.