NPI 1245861749 · live from the CMS NPI Registry
Rebekah Gould Anderson, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Johns Island, SC. National Provider Identifier 1245861749, active.
NPI record
| NPI | 1245861749 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1807 Crowne Commons Way, Suite F10, Johns Island, SC 29455 |
| Practice phone | 843-823-3533 |
| Mailing address | 1807 Crowne Commons Way Ste F10, Johns Island, SC 29455 |
| Enumerated | February 3, 2020 |
| Last updated | January 2, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 9492 (SC) |
| Dentist, General Practice | 1223G0001X | 9492 (SC) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 9678 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.