Anderson, David

Anderson, David is an individual health care provider with primary practice located at 2851 University Ave , Green Bay WI 54311-5855. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Anderson, David can be contacted via phone (920) 431-2500.

Contact Information

Primary practice address
2851 University Ave Green Bay WI 54311-5855
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1001585-15 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 1001585-15 Wisconsin

Profile Details

NPI number 1457806069
LBN Legal business name Anderson, David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2016
Last updated Apr 3rd, 2025 - about last year

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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