Individual provider · Type 1 NPI

Benjamin James Anderson, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Omaha, NE

NPI number 1073775839 Active

Practice location

14625 California St
Omaha, NE 68154-1950

Call (402) 397-7777 Map

Mailing address

2309 N 179th St
Omaha, NE 68116-2261

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X6780 (NE)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6780 (NE)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XT-2530 (MS)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XPRV-TP-111-09 (MS)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1073775839

Benjamin James Anderson, DDS, MD's National Provider Identifier is 1073775839, issued on Jul 1, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Omaha, NE. The record was last updated on Nov 30, 2016.