Individual provider · Type 1 NPI

John S. Anderson

General Practice Dentistry · Champaign, IL

NPI number 1215387501 Active

Practice location

819 Bloomington Rd
Champaign, IL 61820-2101

Fax (217) 403-5476

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.030678 (IL)

General Practice Dentistry: 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.

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About NPI 1215387501

John S. Anderson's National Provider Identifier is 1215387501, issued on Jun 16, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Champaign, IL. The record was last updated on Jun 16, 2016.