Individual provider · NPI-1

Dr. Christopher Michael Anderson, DMD

Dentist, General Practice · Marietta, GA

NPI number1265452569

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1265452569
Entity type: Individual (NPI-1)
Name: Dr. Christopher Michael Anderson
Credential: DMD
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 20, 2006
Last updated: Jul 8, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	012001	GA	Yes

Practice location

1225 Johnson Ferry Rd
Suite 660
Marietta, GA 30068-2727

Phone 770-973-6494 · Fax 770-973-6544

Mailing address

1225 Johnson Ferry Rd
Suite 660
Marietta, GA 30068-2727

Phone 770-973-6494 · Fax 770-973-6544

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.