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
Phone: (630) 743-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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