Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GREGORY EARL ANDERSON DDS
NPI 1619192424
Oral & Maxillofacial Surgery in Logan, UT

Q: What is Gregory Anderson's NPI number?

The NPI number for Gregory Anderson is 1619192424. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Q: What is Gregory Anderson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: Is Gregory Anderson enrolled in Medicare?

No. Gregory Anderson has opted out of Medicare through March 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gregory Anderson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 16, 2007Opted out of Medicare · through Mar 18, 2027

1395 NO. 400 E., STE B, LOGAN, UT 84341(435) 755-5000(435) 755-5099 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Gregory Earl Anderson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY EARL ANDERSON DDS (NPI 1619192424) is an individual oral & maxillofacial surgery provider in Logan, Utah, licensed in Utah (145198-9924) and active in the NPI registry since April 2007. He has opted out of Medicare through March 18, 2027.

NPPES Registry Identity

NPI1619192424

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. GREGORY EARL ANDERSONCredential: DDS

Location Address1395 NO. 400 E., STE BLogan, UT 84341

Mailing Address1395 No 400 E., Ste BLogan, UT 84341 · (435) 755-5000 · Fax (435) 755-5099

Phone(435) 755-5000

Fax(435) 755-5099

Sole ProprietorYes

Enumeration DateApril 16, 2007

Last NPPES UpdateSeptember 29, 2026

✔ NPI 1619192424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in UT · 145198-9924

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 1451989924 (UT)

1395 NO. 400 E., Logan, UT 84341

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Gregory Earl Anderson Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2021 through March 18, 2027.

Opt-Out Effective DateMarch 18, 2021

Opt-Out In Effect ThroughMarch 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Anderson's NPI number?

The NPI number for Gregory Anderson is 1619192424. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Gregory Anderson located?

Gregory Anderson practices at 1395 No. 400 E. Ste B, Logan, UT 84341. The listed phone number is (435) 755-5000.

What is Gregory Anderson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Gregory Anderson enrolled in Medicare?

No. Gregory Anderson has opted out of Medicare through March 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Gregory Anderson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 14 other insurers list Gregory Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Anderson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.