Gregory E. Anderson PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

GREGORY E. ANDERSON PC

Practice address

1395 N 400 E Ste B
Logan, UT 84341-7531

Phone

(435) 755-5000

NPI assigned

Oct 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Dean

Title

Business Manager

Phone

(435) 755-5000

Specialties & licenses 1

Addresses

Tax ID family

Gregory E Anderson PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gregory E. Anderson PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Logan, UT
  • NPI 1619826864
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Anderson, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Logan, UT
  • NPI 1861067464
  NPD
• Gregory Earl Anderson, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Logan, UT
  • NPI 1619192424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1043186240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N 400 E STE B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417531",
            "telephone_number": "435-755-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N 400 E STE B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843417531",
            "telephone_number": "435-755-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E. ANDERSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "435-755-5000"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Green, MS,OTR-L
• Ryan J Green, PT
• Wess R Greene, PT
• Kirsten Greenfield, LCSW
• Brandon David Greenwood, PT
• Gregory E. Anderson PC
• Paul R Gregory, COTA/L
• Whitney Gregory
• Amalia Jean Gridley
• Jamie Len Griffin

• Oral & Maxillofacial Surgery (D.M.D.) in Logan, UT
• Providers in Logan, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.