Anderson, Devin
Anderson, Devin is an sole proprietor health care provider with primary practice located at 11261 Wareham Ct , Loma Linda CA 92354-4875. He recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as his primary health care specialty. Anderson, Devin can be contacted via phone (909) 496-1718.Contact Information
Primary practice address
11261 Wareham Ct
Loma Linda CA 92354-4875
Phone: (909) 496-1718
Fax: (909) 478-0778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 46353 | California |
Profile Details
| NPI number | 1629484522 |
|---|---|
| LBN Legal business name | Anderson, Devin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2014 |
| Last updated | Jul 11th, 2014 - about 12 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 | 1629484522 | NPPES |
| California | Other | 520882 | DENTI-CAL |
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