Individual provider · NPI-1

Dr. Justin Anderson, DMD

Dentist, General Practice · Murfreesboro, TN

NPI number1760034516
StatusActive
Last updated in NPPESJul 11, 2019

Details

NPI
1760034516
Entity type
Individual (NPI-1)
Name
Dr. Justin Anderson
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 11, 2019
Last updated
Jul 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice11088TNYes

Practice location

2306 Medical Center Pkwy Ste B5
Murfreesboro, TN 37129-3773

Phone 615-560-1990

Mailing address

320 11th Ave S Apt 407
Nashville, TN 37203-4073

Phone 270-484-5941

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