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Contact Information

NATHAN M ANDERSON, DMD
4777 MAIN ST
SPRINGFIELD, OR97478-6069
 Phone: 541-357-4888
 Fax: 541-357-4846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NATHAN M ANDERSON · (Male)

NPI Number 1174703219
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/06/2007
Last updated 03/22/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # D9198
  • WY License # 1181
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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