Individual provider · Type 1 NPI

Russell G. Anderson Jr., DMD

General Practice Dentistry · Kennesaw, GA

NPI number 1811068620 Active

Practice location

1415 Wooten Lake Rd NW, Suite 300
Kennesaw, GA 30144-1350

Call (770) 419-2535 Map

Fax (770) 419-0030

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X011457 (GA)

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 1811068620

Russell G. Anderson Jr., DMD's National Provider Identifier is 1811068620, issued on Nov 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kennesaw, GA. The record was last updated on Jul 8, 2007.