National Provider Identifier Database

SHAWN R ANDERSON, DDS – NPI #1770504235
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

SHAWN R ANDERSON, DDS
25109 JEFFERSON AVE
#220
MURRIETA, CA92562-8116
Phone: 951-514-7377
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for SHAWN R ANDERSON

NPI Number 1770504235
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/21/2006
Last updated 05/12/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: D008275
  • CA License #: 57725
  • NV Medicaid: 100509660
Hospital affiliation n/a

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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