David M Anderson in Appleton - Oral And Maxillofacial Surgery

David M Anderson - NPI 1619061546

David M Anderson is a Oral And Maxillofacial Surgery in Appleton, Wisconsin. David M Anderson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David M Anderson is 1619061546. The last update date is 2021-11-24.

David M Anderson's current location address is 4660 W College Ave, Appleton, Wisconsin. You can contact this provider via phone number 9207300345. The mailing address for David M Anderson is 4660 W College Ave, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name David M Anderson
Address 4660 W College Ave, Appleton, Wisconsin
Phone Number 9207300345
Fax Number
Sole Proprietor N
Credentials DDS, MD

NPI Number Detail

NPI Number 1619061546
Provider Enumeration Date 2006-10-03
Last Updated Date 2021-11-24

Provider Mailing Address Detail

Address 4660 W College Ave
City Appleton
State Wisconsin (WI)
Post Code 549138507
Phone Number 9207300345
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 315501-9924
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
870679577 UT TAX-ID

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FAQs about David M Anderson

What is the unique identification code assigned to David M Anderson by the Centers for Medicare & Medicaid Services?

The David M Anderson has been issued the NPI (National Provider Identifier) 1619061546. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David M Anderson is geographically located?

The David M Anderson is physically situated at the following location: 4660 W College Ave, Appleton, WI, 549138507.

What is David M Anderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David M Anderson is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services assign the 1619061546 to David M Anderson?

The Centers for Medicare & Medicaid Services assigned the 1619061546 to David M Anderson on 2006-10-03.

When was the information pertaining to David M Anderson most recently updated or revised?

The details related to David M Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-24.

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