Individual provider · NPI-1

Joshua Anderson, DMD

Dentist · Richmond, TX

NPI number1053096768
StatusActive
Last updated in NPPESJun 20, 2023

Details

NPI
1053096768
Entity type
Individual (NPI-1)
Name
Joshua Anderson
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 20, 2023
Certification date
Jun 20, 2023
Last updated
Jun 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist39449TXYes

Practice location

1814 Settlers Ct
Richmond, TX 77406-2149

Phone 435-459-9656

Mailing address

1814 Settlers Ct
Richmond, TX 77406-2149

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Richmond, TX