COLE ANDERSON, D.M.D.,M.S., General Practice URBANA, IL

Contact Information

COLE ANDERSON, D.M.D.,M.S.

602 W UNIVERSITY AVE
URBANA, IL 61801-2530

Phone: 217-383-3280
Fax: 217-383-7071
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	1223G0001X
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)

Indicates primary specialty

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NPI Profile & details for COLE ANDERSON · (Male)

NPI Number	`1316175458`
Status	Active
Credentials	D.M.D.,M.S.
Entity	Individual
Enumeration date	06/28/2009
Last updated	02/16/2010 - About 16 years ago
Sole proprietor ¹	No
Identifiers	IL License # 018.001699 IL License # 019.028186
Hospital affiliation(s)	ST ALPHONSUS REGIONAL MEDICAL CENTER - (Acute Care) 1055 NORTH CURTIS ROAD BOISE, ID 83706

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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COLE ANDERSON, D.M.D.,M.S. – NPI #1316175458General Practice

Contact Information

Specialty

General Practice

Oral and Maxillofacial Surgery

NPI Profile & details for COLE ANDERSON · (Male)

Reviews for COLE ANDERSON

COLE ANDERSON, D.M.D.,M.S. – NPI #1316175458
General Practice