NPI 1972697134 · live from the CMS NPI Registry
Alan Michael Anderson, D.M.D.
Dentist, General Practice in Bishop, CA. National Provider Identifier 1972697134, active.
NPI record
| NPI | 1972697134 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 52 N Tu Su Ln, Bishop, CA 93514 |
| Practice phone | 760-873-3443 |
| Mailing address | 1105 E 1050 N, Heber City, UT 84032 |
| Enumerated | October 3, 2006 |
| Last updated | June 24, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 35066 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.