WILLIAM R ANDERSON DMD PSC; NPI #1295861524

Contact Information

WILLIAM R ANDERSON DMD PSC

972 BROADWAY PLAZA
PAINTSVILLE, KY 41240

Phone: 606-789-1912
Fax: 606-789-1939
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for WILLIAM R ANDERSON DMD PSC

NPI Number 1295861524

LBN Legal business name WILLIAM R ANDERSON DMD PSC

Authorized official WILLIAM ANDERSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/23/2007

Last updated 03/12/2008 - About 18 years ago

Identifiers

KY	License #	5386
KY	Medicaid	60053865
KY	Medicaid	64053861

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WILLIAM R ANDERSON DMD PSC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for WILLIAM R ANDERSON DMD PSC

Reviews for WILLIAM R ANDERSON DMD PSC