Anderson, Clifford Virgil
Anderson, Clifford Virgil is an individual health care provider with primary practice located at 4240 Blue Ridge Blvd Suite 800, Kansas City MO 64133. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Anderson, Clifford Virgil can be contacted via phone (816) 353-7200.Contact Information
Primary practice address
4240 Blue Ridge Blvd Suite 800
Kansas City MO 64133
Phone: (816) 353-7200
Fax: (816) 353-5162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 12006 | Missouri |
Profile Details
| NPI number | 1336193952 |
|---|---|
| LBN Legal business name | Anderson, Clifford Virgil |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336193952 | NPPES |
| Missouri | Other | 05270011 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 144566 | BLUE CROSS BLUE SHIELD |
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