Individual provider · Type 1 NPI
Jonathon Henning Anderson, DDS
Oral and Maxillofacial Surgery (Dentist) · Birmingham, MI
NPI number
1811979719
Active · reactivated Oct 13, 2018
Practice location
555 S Old Woodward Ave Ste 777
Birmingham, MI 48009-6618
Fax (248) 647-4730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901012981 (MI) |
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.
Another provider at this address
About NPI 1811979719
Jonathon Henning Anderson, DDS's National Provider Identifier is 1811979719, issued on Nov 16, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Birmingham, MI. The record was last updated on Oct 15, 2018.