Amy M. Anderson, D.M.D.
Dentist, General Practice in Montgomery, AL. Individual provider (NPI-1).
NPI number1720124035
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720124035
- Entity type
- Individual (NPI-1)
- Name
- Amy M. Anderson
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5417 | AL | Yes |
Practice location
4790 Woodmere BlvdMontgomery, AL 36106-3065
Phone 334-279-0760 · Fax 334-215-1153
Mailing address
4790 Woodmere BlvdMontgomery, AL 36106-3065
Phone 334-279-0760 · Fax 334-215-1153
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