IndividualActive
Douglas Anderson, D.D.S., M.S.
NPI 1821157918 · Orthodontics and Dentofacial Orthopedics Dentistry · South Jordan, UT
Provider details
- NPI number
- 1821157918
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 143412-9921 (UT)
Specialties & taxonomies
Dental Providers
Practice location
2651 W South Jordan Pkwy Ste 201
South Jordan, UT 84095-8966
Phone: (801) 254-2700
Fax: (801) 253-2787
Approximate (ZIP-level) locationGet directions
Mailing address
2651 W South Jordan Pkwy Ste 201
South Jordan, UT 84095-8966
Registry dates
- Enumerated
- 2006-12-06
- 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.