Anderson, Robert Lee

Anderson, Robert Lee is an sole proprietor health care provider with primary practice located at 7654 Hickman Rd , Windsor Heights IA 50322-4510. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Robert Lee can be contacted via phone (515) 276-9330.

Contact Information

Primary practice address
7654 Hickman Rd Windsor Heights IA 50322-4510
Phone: (515) 276-9330
Fax: (515) 276-0396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 07369 Iowa

Profile Details

NPI number 1790837391
LBN Legal business name Anderson, Robert Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
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 1790837391 NPPES
Iowa Other 03761 PROVIDER NUMBER
Iowa MEDICAID 0102392 PROVIDER NUMBER

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