# WILLIAM R ANDERSON DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295861524
- **Authorized official:** MR. WILLIAM R ANDERSON DMD (PRESIDENT)
- **Authorized official phone:** (606) 789-1912

## Contact information

- **Practice address:** 972 BROADWAY PLAZA, PAINTSVILLE, KY 41240
- **Practice address phone:** (606) 789-1912
- **Practice address fax:** (606) 789-1939
- **Mailing address:** 972 BROADWAY PLAZA, PAINTSVILLE, KY 41240
- **Mailing address phone:** (606) 789-1912
- **Mailing address fax:** (606) 789-1939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 5386 | KY | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 03/12/2008