Individual provider · NPI-1

Dr. Mark D Anderson, D.D.S

Dentist · New Orleans, LA

NPI number1619945078
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1619945078
Entity type
Individual (NPI-1)
Name
Dr. Mark D Anderson
Credential
D.D.S
Sex
Male
Sole proprietor
No
Enumeration date
Mar 10, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist5228LAYes

Practice location

818 Perdido St
New Orleans, LA 70112-1026

Phone 504-525-9990

Mailing address

818 Perdido St
New Orleans, LA 70112-1026

Phone 504-525-9990

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 providers in New Orleans, LA