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Contact Information

CLAY W ANDERSON, DDS
1409 N 12TH ST
FREDERICK, OK73542-2020
 Phone: 580-335-2263
 Fax: 580-335-2283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

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

NPI # 1700015435
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/02/2009
Last updated 04/23/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 6095
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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