NPI 1609485101 · live from the CMS NPI Registry
Justin Alton Anderson, DDS
Dentist, General Practice in Salem, OR. National Provider Identifier 1609485101, active.
NPI record
| NPI | 1609485101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1595 Commercial St Se, Salem, OR 97302 |
| Practice phone | 503-877-1598 |
| Enumerated | July 30, 2020 |
| Last updated | July 30, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D11269 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.