Individual provider · NPI-1

Holly Andersen, dds

Dentist, Orthodontics and Dentofacial Orthopedics · Norfolk, VA

NPI number1366872863
StatusActive
Last updated in NPPESNov 19, 2013

Details

NPI
1366872863
Entity type
Individual (NPI-1)
Name
Holly Andersen
Credential
dds
Sex
Female
Sole proprietor
No
Enumeration date
Nov 19, 2013
Last updated
Nov 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics401410343VAYes

Practice location

302 E Little Creek Rd Ste 300
Norfolk, VA 23505-2603

Phone 757-583-2333 · Fax 757-424-1708

Mailing address

302 E Little Creek Rd Ste 300
Norfolk, VA 23505-2603

Phone 757-583-2333 · Fax 757-424-1708

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, Orthodontics and Dentofacial Orthopedics providers in Norfolk, VA