James Gregory Anderson, DDS Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Clinton, TN

NPI

1619952314

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

DS0000005390 (TN)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-12-14

Last updated

2024-10-17