Individual provider · Type 1 NPI
Douglas Robert Anderson, DDS
Oral and Maxillofacial Surgery (Dentist) · Columbus, OH
NPI number
1700999026
Active
Practice location
141 S 6th St
Columbus, OH 43215-4607
Fax (614) 224-1527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 30-01-4637 (OH) |
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 1700999026
Douglas Robert Anderson, DDS's National Provider Identifier is 1700999026, issued on Aug 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbus, OH. The record was last updated on Jul 8, 2007.