# ANDERSON DENTISTRY BEDFORD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANDERSON DENTISTRY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942639570
- **Legal business name:** ANDERSON DENTISTRY
- **Authorized official:** MR. RUSSELL DWAYNE ANDERSON MBS, MBA (BUSINESS MANAGER)
- **Authorized official phone:** (817) 247-4720

## Contact information

- **Practice address:** 2620 HARWOOD RD, BEDFORD, TX 76021-3700
- **Practice address phone:** (817) 267-6101
- **Mailing address:** 5305 COLLEYVILLE BLVD, SUITE B, COLLEYVILLE, TX 76034
- **Mailing address phone:** (817) 485-2111
- **Mailing address fax:** (817) 656-5704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 29141 | TX | Yes |

## Other

- **Enumeration date:** 11/04/2013
- **Last updated:** 11/04/2013