David Max Anderson (NPI# 1619061546, PAC ID# 0648561381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1619061546 |
| PAC ID by PECOS | 0648561381 |
| Professional Enrollment ID | I20160630001457 |
| Full Name | David Max Anderson |
| Organization Legal Name | CREEKSIDE ORAL AND FACIAL SURGERY INC |
| Address |
7390 S Creek Rd Suite 101 Sandy UT 84093-6121 |
| Phone Number | 8012552422 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9739470477 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7390 S Creek Rd, Suite 101, Sandy, UT 84093-6121 | 8012552422 | CREEKSIDE ORAL AND FACIAL SURGERY INC |
| 7390 S Creek Rd, Sandy, UT 84093-6121 | 8012552422 | CREEKSIDE ORAL AND FACIAL SURGERY INC |
| Organization Legal Name | CREEKSIDE ORAL AND FACIAL SURGERY INC |
| Physicians | 1 |
| Street Address |
7390 S CREEK RD SUITE 101 |
| City | SANDY |
| State | UT |
| Zip | 84093-6121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stella Y Chou | Ophthalmology | 8789 S Highland Dr, Suite 100, Sandy, UT 84093-1602 | |
| Rodney Clyde Davis | Chiropractic | 2061 E 9400, Sandy, UT 84093-3128 | |
| Peter E Jensen | Vascular Surgery | 7410 S Creek Rd, Suite 104, Sandy, UT 84093-6151 | |
| Brian J Thomas | Chiropractic | 8170 S Highland Dr, Suite E2, Sandy, UT 84093-6497 | |
| Phillip L Hansen | Clinical Social Worker | 8184 S Highland Dr, Suite C8, Sandy, UT 84093-6498 | |
| Kenneth C Rodgers | Psychologist, Clinical | 8160 S Highland Dr, Suite 102, Sandy, UT 84093-7403 | |
| Theresa Schubach | Clinical Social Worker | 8160 S Highland Dr, Suite 209, Sandy, UT 84093-7403 | |
| Kathryn Kair | Clinical Psychologist | 8160 S Highland Dr, Suite 111, Sandy, UT 84093-7403 |
| City | SANDY |
| Zip Code | 84093 |
| Specialty | ORAL SURGERY |
| City + Specialty | SANDY + ORAL SURGERY |
Please comment or provide details below to improve the information on David Max Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.