Dr. Gissela Bernal Anderson, DDS, MS
Dentist, Periodontics in Houston, TX. Individual provider (NPI-1).
NPI number1275757486
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1275757486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gissela Bernal Anderson
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2007
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 17890 | TX | Yes |
| 1223P0300X | Dentist, Periodontics | DE00008259 | WA |
Practice location
4142 Bellaire BlvdHouston, TX 77025-1008
Phone 713-500-4385 · Fax 281-265-0502
Mailing address
22 Penny Green StSugar Land, TX 77479-2931
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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.
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