Individual provider · NPI-1

Joseph Scott Anderson, DDS

Dentist · Norfolk, VA

NPI number1013647742
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1013647742
Entity type
Individual (NPI-1)
Name
Joseph Scott Anderson
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2022
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2454NDYes

Practice location

1647 Admiral Taussig Blvd
Norfolk, VA 23511-2803

Phone 757-953-8592

Mailing address

1647 Admiral Taussig Blvd
Norfolk, VA 23511-2803

Phone 757-953-8592

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