Dr Andrew G Ericksen, DDS in Holladay, UT - Dentist

Dr Andrew G Ericksen, DDS is a Dentist - General Practice based in Holladay, Utah. Dr Andrew G Ericksen is licensed to practice in Utah (license number 79993339922) and his current practice location is 2160 E 4500 S Ste 3, Same, Holladay, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 277-9213.

NPI number for Dr Andrew G Ericksen is 1811265143 and his current mailing address is 4543 S Suncrest Dr, Holladay, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811265143.

Contact Information

	Dr Andrew G Ericksen, DDS
	2160 E 4500 S Ste 3, Same, Holladay, UT 84117-4499
	(801) 277-9213
	Not Available

Healthcare Provider's Profile

Full Name	Dr Andrew G Ericksen
Gender	Male
Speciality	Dentist - General Practice
Location	2160 E 4500 S Ste 3, Holladay, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1811265143
Provider Enumeration Date: 12/01/2011
Last Update Date: 07/28/2016

Medical Identifiers

Medical identifiers for Dr Andrew G Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811265143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	79993339922 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrew G Ericksen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Andrew G Ericksen, DDS 4543 S Suncrest Dr, Holladay, UT 84117-4316 Ph: (801) 633-3183	Dr Andrew G Ericksen, DDS 2160 E 4500 S Ste 3, Same, Holladay, UT 84117-4499 Ph: (801) 277-9213

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Dentist in Holladay, UT

Dr. Ralph T Larsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1949 E 5600 S, Holladay, UT 84121 Phone: 801-277-8395 Fax: 801-277-5443
Dr. Bradley Stephen Walker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1434 E 4500 S Ste 102, Holladay, UT 84117 Phone: 801-273-5632
David L Christensen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6065 Highland Dr, Suite 1, Holladay, UT 84121 Phone: 801-277-5181 Fax: 801-277-6791
Dr. David S Cannon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1434 E 4500 S, #202, Holladay, UT 84117 Phone: 801-274-8889 Fax: 801-274-3896
Dr. Jeffrey A. Hill, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6556 S Big Cottonwood Canyon Rd, Suite 500, Holladay, UT 84121 Phone: 801-943-4200 Fax: 801-943-3675
Dr. Andrew Johansen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4970 S 900 E Ste B, Holladay, UT 84117 Phone: 801-261-2013
Dennis Scott Elder, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4110 Highland Dr, Holladay, UT 84124 Phone: 801-278-8800 Fax: 801-274-0124

Dr Andrew G Ericksen, DDS - Dentist in Holladay, UT