Dr. Stanley J Anderson, DMD
Dentist, General Practice in Augusta, GA. Individual provider (NPI-1).
NPI number1982829784
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982829784
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stanley J Anderson
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8250 | GA | Yes |
Practice location
1211 George C Wilson DrAugusta, GA 30909-4502
Phone 706-868-0183 · Fax 706-868-8413
Mailing address
1211 George C Wilson DrAugusta, GA 30909-4502
Phone 706-868-0183 · Fax 706-868-8413
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