Anderson, Russell G.
Anderson, Russell G. is an sole proprietor health care provider with primary practice located at 1415 Wooten Lake Rd Nw Suite 300, Kennesaw GA 30144-1350. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Russell G. can be contacted via phone (770) 419-2535.Contact Information
Primary practice address
1415 Wooten Lake Rd Nw Suite 300
Kennesaw GA 30144-1350
Phone: (770) 419-2535
Fax: (770) 419-0030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 011457 | Georgia |
Profile Details
| NPI number | 1811068620 |
|---|---|
| LBN Legal business name | Anderson, Russell G. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 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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