Individual provider · NPI-1

Dr. Robert William Anderson Jr., DMD

Dentist · Waltham, MA

NPI number1154094472
StatusActive
Last updated in NPPESAug 2, 2021

Details

NPI
1154094472
Entity type
Individual (NPI-1)
Name
Dr. Robert William Anderson Jr.
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 2, 2021
Certification date
Aug 2, 2021
Last updated
Aug 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN1859101MAYes

Practice location

862 Lexington St
Waltham, MA 02452-4849

Phone 781-684-9714

Mailing address

15 Clarendon St
Newton, MA 02460-2020

Phone 617-956-2322

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