Dr. Craig William Anderson, DDS
Dentist, Endodontics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1255459343
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255459343
- Entity type
- Individual (NPI-1)
- Name
- Dr. Craig William Anderson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 45083 | CA | Yes |
Practice location
2080 Century Park East#1710
Los Angeles, CA 90067-2020
Phone 310-553-3232
Mailing address
2080 Century Park East#1710
Los Angeles, CA 90067-2020
Phone 310-553-3232
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