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Contact Information

JEFFREY D ANDERSON, DDS
5754 ANTIOCH RD
MERRIAM, KS66202-2015
 Phone: 913-671-7066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEFFREY D ANDERSON · (Male)

NPI # 1700223708
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/30/2013
Last updated 04/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 61140
  • MO License # 2015000298
  • OR License # D9859
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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