Individual provider · NPI-1

James David Anderson, DMD

Dentist, General Practice · Marietta, GA

NPI number1467552935
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1467552935
Entity type
Individual (NPI-1)
Name
James David Anderson
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice11975GAYes

Practice location

2663 Sandy Plains Road
Marietta, GA 30066

Phone 770-977-0827 · Fax 770-973-6764

Mailing address

2663 Sandy Plains Road
Marietta, GA 30066

Phone 770-977-0827 · Fax 770-973-6764

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