Dr. Ammon L Anderson, D.D.S.
Dentist, Endodontics in Sioux City, IA. Individual provider (NPI-1).
NPI number1760618110
StatusActive
Last updated in NPPESMay 29, 2009
Details
- NPI
- 1760618110
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ammon L Anderson
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2009
- Last updated
- May 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 08617 | IA | Yes |
| 122300000X | Dentist | 6543 | NE | |
| 122300000X | Dentist | 1127 | WY |
Practice location
2910 Hamilton BlvdSuite 101
Sioux City, IA 51104-2423
Phone 712-255-8017
Mailing address
2910 Hamilton BlvdSuite 101
Sioux City, IA 51104-2423
Phone 712-255-8017
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