Individual provider · NPI-1

Lawrence Brown Anderson II, DMD

Dentist · Bethesda, MD

NPI number1376165373
StatusActive
Last updated in NPPESJun 13, 2024

Details

NPI
1376165373
Entity type
Individual (NPI-1)
Name
Lawrence Brown Anderson II
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2020
Certification date
Jun 13, 2024
Last updated
Jun 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDEN.00204368COYes

Practice location

4650 Taylor Road
Bldg 17, 3rd Floor Room 3140
Bethesda, MD 20889

Phone 719-789-5015

Mailing address

5608 Greentree Rd
Bethesda, MD 20817-3550

Phone 719-789-5015

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