NPI 1972183762 · live from the CMS NPI Registry
Jaxson Reed Anderson, DMD
Dentist, General Practice in Oshkosh, WI. National Provider Identifier 1972183762, active.
NPI record
| NPI | 1972183762 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1477 W South Park Ave, Oshkosh, WI 54902 |
| Practice phone | 920-231-0093 |
| Mailing address | 687 W 1175 N, Farmington, UT 84025 |
| Enumerated | April 14, 2021 |
| Last updated | January 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 100254115 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.