Andrus Prosthodontics LC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

4748653 Issued in UT

Legal business name

ANDRUS PROSTHODONTICS LC

Practice address

640 E 700 S
Suite 104
St George, UT 84770-4023

Phone

(435) 674-3100

Fax

(435) 674-4345

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rodney L Andrus, DDS

Title

Owner

Phone

(435) 674-3100

Specialties & licenses 1

Addresses

Other names 1

• St.George Center for Specialized Dentistry Doing business as

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1275916777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "SUITE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-674-3100",
            "fax_number": "435-674-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "SUITE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-674-3100",
            "fax_number": "435-674-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRUS PROSTHODONTICS LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-674-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "UT",
            "license": "4748653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St.George Center for Specialized Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Pasi Andresen
• Benjamin Andresen, LCSW
• Christopher Ray Andrew, NP
• Charles P. Andrews, LCSW
• Elizabeth Andrews
• Andrus Vision Center PC
• Ariel Andrus
• Autumn Andrus
• Brandon Shane Andrus, LCSW
• Dwight Eugene Andrus, D.C.

• All providers in St George, UT
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.