Mark Wayne Anderson in Fairfield - Dentist
Mark Wayne Anderson - NPI 1780716969
Mark Wayne Anderson is a Dentist in Fairfield, California. Mark Wayne Anderson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Wayne Anderson is 1780716969. The last update date is 2007-07-08.
Mark Wayne Anderson's current location address is 995 Oliver Road, Fairfield, California. You can contact this provider via phone number 7074250646 and fax number 7074250777. The mailing address for Mark Wayne Anderson is 995 Oliver Road, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wayne Anderson |
|---|---|
| Address | 995 Oliver Road, Fairfield, California |
| Phone Number | 7074250646 |
| Fax Number | 7074250777 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1780716969 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 995 Oliver Road |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945344349 |
| Phone Number | 7074250646 |
| Fax Number | 7074250777 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D33437 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10198992 | CA | EMPLOYER ACCT NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Wayne Anderson by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Wayne Anderson has been assigned the NPI (National Provider Identifier) 1780716969. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Mark Wayne Anderson is located?
The Mark Wayne Anderson is situated at the following address: 995 Oliver Road, Fairfield, CA, 945344349.
What is Mark Wayne Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Wayne Anderson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Mark Wayne Anderson receive its 1780716969?
The Mark Wayne Anderson was issued its 1780716969 on 2007-03-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark Wayne Anderson most recently updated or revised?
The information pertaining to Mark Wayne Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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