Todd Douglas Anderson D.D.S.

NPI 1255450763 - Dentist - 1223G0001X

NPI Details
NPI 1255450763
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2105 W KEARNEY ST
SUITE A
SPRINGFIELD MO, 65803-1652, US
Phone (417) 862-2468
Fax (417) 863-6775
Business Location
2105 W KEARNEY ST
SUITE A
SPRINGFIELD MO, 65803-1652, US
Phone (417) 862-2468
Fax (417) 863-6775
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 2005000386
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According to our database, Mr. Todd Douglas Anderson D.D.S. NPI is 1255450763, taxonomy code is 1223G0001X and license number is 2005000386, license state is located at Missouri. Todd Douglas Anderson D.D.S. physically located at 2105 W Kearney St, Springfield MO, 65803-1652. NPI Number Todd Douglas Anderson D.D.S. has the Individual type.

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1255450763 NPI number is provided on an as is basis without warranty of any kind. 1255450763 is maintained by the National Plan & Provider Enumeration System. The contents of Todd Douglas Anderson D.D.S. are for informational purposes only.