Anderson, Adam Jacob

Anderson, Adam Jacob is an sole proprietor health care provider with primary practice located at 3617 W Sunset Ave , Springdale AR 72762-4955. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Anderson, Adam Jacob can be contacted via phone (479) 419-9991.

Contact Information

Primary practice address
3617 W Sunset Ave Springdale AR 72762-4955
Phone: (479) 419-9991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6258 Oklahoma
Dental Providers / Dentist 122300000X 4031 Arkansas

Profile Details

NPI number 1023321098
LBN Legal business name Anderson, Adam Jacob
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2010
Last updated Jul 7th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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