Individual provider · Type 1 NPI

Jeffrey Thomas Anderson

Pediatric Dentistry · Holland, MI

NPI number 1265012785 Active

Practice location

12723 N Bellwood Dr Ste 20
Holland, MI 49424-7275

Mailing address

3120 Ridges Bnd Apt 203
Grand Rapids, MI 49546-5437

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2903603763 (MI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1265012785

Jeffrey Thomas Anderson's National Provider Identifier is 1265012785, issued on Apr 9, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Holland, MI. The record was last updated on Mar 23, 2024.