Kirk J Anderton, DDS MS PC

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Cedar City, UT

NPI 1154547370 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1154547370
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
6947180 (UT)
Practice address
1751 W Royal Hunte Dr
Cedar City, UT 84720-1865
Phone
(435) 865-9111
Fax
(435) 865-1417
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6947180UTMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6947180 UT Yes

Addresses

Primary practice location

1751 W Royal Hunte Dr
Cedar City, UT 84720-1865

Mailing address

1751 W Royal Hunte Dr
Cedar City, UT 84720-1865
Phone (435) 865-9111

Other providers in Cedar City, UT

All providers in Cedar City, UT · Orthodontics and Dentofacial Orthopedics Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.