Individual provider · NPI-1

Noble Davis Anderson, DMD

Dentist, Orthodontics and Dentofacial Orthopedics · Lebanon, PA

NPI number1912708462
StatusActive
Last updated in NPPESMar 21, 2025

Details

NPI
1912708462
Entity type
Individual (NPI-1)
Name
Noble Davis Anderson
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 21, 2025
Certification date
Mar 21, 2025
Last updated
Mar 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsDS0204668LPAYes

Practice location

136 Timber Rd
Lebanon, PA 17042-8920

Phone 717-269-3347

Mailing address

136 Timber Rd
Lebanon, PA 17042-8920

Phone 717-269-3347

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