Anderson, John R

Anderson, John R is an individual health care provider with primary practice located at 3450 Lacey Rd , Downers Grove IL 60515-5430. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Anderson, John R can be contacted via phone (630) 743-4500.

Contact Information

Primary practice address
3450 Lacey Rd Downers Grove IL 60515-5430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1002162-15 Wisconsin
Dental Providers / Dentist 122300000X 019.036904 Illinois

Profile Details

NPI number 1134680101
LBN Legal business name Anderson, John R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2019
Last updated Mar 20th, 2026 - about 7 months 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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