Michael John Andersen D.D.S.

NPI 1467669655 - Dentist - 122300000X

NPI Details
NPI 1467669655
Gender Male
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5245 BIG PINE WAY
SUITE 103
FORT MYERS FL, 33907-5924, US
Phone (239) 332-5660
Fax
Business Location
5245 BIG PINE WAY
SUITE 103
FORT MYERS FL, 33907-5924, US
Phone (239) 332-5660
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN 11923
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According to our database, Dr. Michael John Andersen D.D.S. NPI is 1467669655, taxonomy code is 122300000X and license number is DN 11923, license state is located at Florida. Michael John Andersen D.D.S. physically located at 5245 Big Pine Way, Fort Myers FL, 33907-5924. NPI Number Michael John Andersen D.D.S. has the Individual type.

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1467669655 NPI number is provided on an as is basis without warranty of any kind. 1467669655 is maintained by the National Plan & Provider Enumeration System. The contents of Michael John Andersen D.D.S. are for informational purposes only.