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Contact Information

SHAWN R ANDERSON, DDS
25109 JEFFERSON AVE
#220
MURRIETA, CA92562-8116
 Phone: 951-514-7377
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

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

NPI Number 1770504235
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/21/2006
Last updated 05/12/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # D008275
  • CA License # 57725
  • NV Medicaid 100509660
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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