NPI 1710047519 · live from the CMS NPI Registry
Kurt Michael Anderson, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Texarkana, TX. National Provider Identifier 1710047519, active.
NPI record
| NPI | 1710047519 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3000 Moores Ln, Texarkana, TX 75503 |
| Practice phone | 903-794-2826 |
| Enumerated | December 11, 2006 |
| Last updated | May 11, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 20429 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.