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Contact Information

DOUGLAS W ANDERSON, DMD
18160 COTTONWOOD RD
PMB 258
SUNRIVER, OR97707
 Phone: 503-781-9657
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DOUGLAS W ANDERSON · (Male)

NPI Number 1972718310
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/11/2007
Last updated 01/19/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # D5145
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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