# LA ANDERSON & ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anderson Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902959646
- **Authorized official:** DR. JIMMIE ANDERSON DDS (PRESIDENT)
- **Authorized official phone:** (704) 663-3300

## Contact information

- **Practice address:** 411 E STATESVILLE AVE, MOORESVILLE, NC 28115-2533
- **Practice address phone:** (704) 663-3300
- **Practice address fax:** (704) 663-0188
- **Mailing address:** 411 E STATESVILLE AVE, MOORESVILLE, NC 28115-2533
- **Mailing address phone:** (704) 663-3300
- **Mailing address fax:** (704) 663-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6793 | NC | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 10/29/2008