NPI 1174703219 · live from the CMS NPI Registry
Nathan Michael Anderson, DMD
Dentist in Springfield, OR. National Provider Identifier 1174703219, active.
NPI record
| NPI | 1174703219 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 4777 Main St, Springfield, OR 97478 |
| Practice phone | 541-357-4888 |
| Enumerated | November 6, 2007 |
| Last updated | March 22, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | d9198 (OR) |
| Dentist, General Practice | 1223G0001X | 1181 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.