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Contact Information

JUSTIN R ANDERSON, DDS
831 VERMONT ST
LAWRENCE, KS66044-2665
 Phone: 785-843-6060
 Fax: 785-843-4335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JUSTIN R ANDERSON · (Male)

NPI # 1669445805
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 7194
  • KS Other 116686 BC/BS OF KS
  • MO Other 29807017 BC/BS OF KANSAS CITY
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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