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Active NPI 1811265143 Individual Practitioner Male Practitioner

Dr. Andrew G Ericksen , DDS

Dentist - General Practice • Holladay, UT

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Ericksen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Holladay, UT. Practice services are available at 2160 E 4500 S STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2160 E 4500 S Ste 3
Same

Holladay, UT 841174499

Telephone 8012779213
Associated Practice Facility / Clinic
🏢 Holladay Center Dental Facility NPI 1265685176

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Holladay, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
20 Specialists

Practicing in Holladay, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 79993339922

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Darin Dickerson , DMD

Dentist - General Practice

NPI 1528251105

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2016

Registered at 2160 E 4500 S STE 3, SAME, HOLLADAY, UT 841174499 (Tel: 8012779213)

📍
Updated Business Mailing Address July 28, 2016

Registered at 4543 S SUNCREST DR, HOLLADAY, UT 841174316 (Tel: 8016333183)

👤
Provider Name / Credentials Updated July 28, 2016

Recorded as ANDREW ERICKSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Dentist (License #79993339922 in UT)

🟢
Initial NPI Registration & Enumeration December 01, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811265143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2011
Last Update: July 28, 2016
Sole Proprietor: No

Mailing Address

4543 S Suncrest Dr

Holladay, UT 841174316

Phone: 8016333183

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.