Matthew Anderson Valid NPI
Individual provider · Dentist · Fpo, AP
- NPI
- 1487140604
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN23679 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-07-11
- Last updated
- 2025-06-19
Practice location
Psc 475 Box 1
Fpo, AP 96350-1200
(315) 243-5352