Individual provider · Type 1 NPI
John Fred Anderson Jr., DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Pacific Palisades, CA
NPI number
1780123216
Active
Practice location
17093 Palisades Cir
Pacific Palisades, CA 90272-2139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DDS108647 (CA) |
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.
Other oral and maxillofacial surgery (dentist) providers in Pacific Palisades
About NPI 1780123216
John Fred Anderson Jr., DDS, MD's National Provider Identifier is 1780123216, issued on Feb 16, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pacific Palisades, CA. The record was last updated on Jul 19, 2023.