Anderson, Douglas Robert

Anderson, Douglas Robert is an individual health care provider with primary practice located at 141 S 6Th St , Columbus OH 43215-4607. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Anderson, Douglas Robert can be contacted via phone (614) 224-1942.

Contact Information

Primary practice address
141 S 6Th St Columbus OH 43215-4607
Phone: (614) 224-1942
Fax: (614) 224-1527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-01-4637 Ohio

Profile Details

NPI number 1700999026
LBN Legal business name Anderson, Douglas Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700999026 NPPES
Ohio MEDICAID 0320325

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