National Provider Identifier Database

ROBERT ANDERSON, DDS – NPI #1124034251
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

ROBERT ANDERSON, DDS
3775 STOCKTON HILL RD STE C
KINGMAN, AZ86409
Phone: 928-692-9135
Fax: 928-692-9408
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for ROBERT ANDERSON

NPI Number 1124034251
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/31/2006
Last updated 06/25/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • AZ License #: D008607
  • ID License #: D-3383
  • AZ Medicaid: 779810
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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