Anderson, Loren P

Anderson, Loren P is an individual health care provider with primary practice located at 3911 W 27Th Ave Ste 105 , Kennewick WA 99337-2483. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Loren P can be contacted via phone (509) 585-2500.

Contact Information

Primary practice address
3911 W 27Th Ave Ste 105 Kennewick WA 99337-2483
Fax: (509) 585-2503
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00009925 Washington

Profile Details

NPI number 1013000686
LBN Legal business name Anderson, Loren P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 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 1013000686 NPPES
Washington MEDICAID 5046263

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