Dr. Marvin L Anderson
Dentist, General Practice in Greenville, SC. Individual provider (NPI-1).
NPI number1487794806
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1487794806
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marvin L Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2007
- Certification date
- Nov 8, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | SC2695 | SC | Yes |
Practice location
18 Pelham RdGreenville, SC 29615-2142
Phone 864-233-3344
Mailing address
18 Pelham RdGreenville, SC 29615-2142
Phone 864-233-3344
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