Russell G. Anderson in Kennesaw - General Practice
Russell G. Anderson - NPI 1811068620
Russell G. Anderson is a General Practice in Kennesaw, Georgia. Russell G. Anderson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell G. Anderson is 1811068620. The last update date is 2007-07-08.
Russell G. Anderson's current location address is 1415 Wooten Lake Rd Nw, Kennesaw, Georgia. You can contact this provider via phone number 7704192535 and fax number 7704190030. The mailing address for Russell G. Anderson is 1415 Wooten Lake Rd Nw, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell G. Anderson |
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Address | 1415 Wooten Lake Rd Nw, Kennesaw, Georgia |
Phone Number | 7704192535 |
Fax Number | 7704190030 |
Sole Proprietor | Y |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1811068620 |
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Provider Enumeration Date | 2006-11-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1415 Wooten Lake Rd Nw |
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City | Kennesaw |
State | Georgia (GA) |
Post Code | 301441350 |
Phone Number | 7704192535 |
Fax Number | 7704190030 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 11457 |
Definition: 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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What is the unique 10-digit identifier code issued to Russell G. Anderson by the Centers for Medicare & Medicaid Services?
The Russell G. Anderson has been assigned the NPI (National Provider Identifier) 1811068620 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Russell G. Anderson's facilities are situated?
The facilities of Russell G. Anderson are physically located at the following address: 1415 Wooten Lake Rd Nw, Kennesaw, GA, 301441350.
What is the Russell G. Anderson's area of specialization and corresponding taxonomy classification?
The Russell G. Anderson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811068620 to Russell G. Anderson?
The Centers for Medicare & Medicaid Services originally issued the 1811068620 to Russell G. Anderson on 2006-11-13.
When was the information related to Russell G. Anderson most recently updated or refreshed?
The details pertaining to the Russell G. Anderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.